Provider Demographics
NPI:1841046604
Name:TUFTS, SHERYL L
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:L
Last Name:TUFTS
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 1:5950 FRY RD
Mailing Address - Street 2:
Mailing Address - City:BROOKPARK
Mailing Address - State:OH
Mailing Address - Zip Code:44142-2748
Mailing Address - Country:US
Mailing Address - Phone:440-732-5485
Mailing Address - Fax:
Practice Address - Street 1:5950 FRY RD
Practice Address - Street 2:
Practice Address - City:BROOKPARK
Practice Address - State:OH
Practice Address - Zip Code:44142-2748
Practice Address - Country:US
Practice Address - Phone:440-732-5485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty