Provider Demographics
NPI:1912462839
Name:SHERRY ANN VEROSTKO-SLAZAK, NURSE PRACTITIONER IN ADULT HEALTH PLLC
Entity Type:Organization
Organization Name:SHERRY ANN VEROSTKO-SLAZAK, NURSE PRACTITIONER IN ADULT HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VEROSTKO-SLAZAK
Authorized Official - Suffix:
Authorized Official - Credentials:ANP-BC
Authorized Official - Phone:716-277-0267
Mailing Address - Street 1:8207 MAIN ST STE 7-8
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6060
Mailing Address - Country:US
Mailing Address - Phone:716-277-0267
Mailing Address - Fax:
Practice Address - Street 1:8207 MAIN ST STE 7-8
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6060
Practice Address - Country:US
Practice Address - Phone:716-277-0267
Practice Address - Fax:716-803-8568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-05
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty