Provider Demographics
NPI:1831943919
Name:MANN-STINSON, SHERICE T
Entity type:Individual
Prefix:
First Name:SHERICE
Middle Name:T
Last Name:MANN-STINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 LOCKPORT ST APT 315
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-5581
Mailing Address - Country:US
Mailing Address - Phone:708-890-9137
Mailing Address - Fax:
Practice Address - Street 1:4001 LOCKPORT ST APT 315
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-5581
Practice Address - Country:US
Practice Address - Phone:708-890-9137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide