Provider Demographics
NPI:1912964412
Name:PYKE, SHERRY FAYE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:FAYE
Last Name:PYKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 PANSY CT
Mailing Address - Street 2:
Mailing Address - City:BOURBON
Mailing Address - State:IN
Mailing Address - Zip Code:46504-1803
Mailing Address - Country:US
Mailing Address - Phone:574-342-7047
Mailing Address - Fax:574-342-7047
Practice Address - Street 1:707 PANSY CT
Practice Address - Street 2:
Practice Address - City:BOURBON
Practice Address - State:IN
Practice Address - Zip Code:46504-1803
Practice Address - Country:US
Practice Address - Phone:574-342-7047
Practice Address - Fax:574-342-7047
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28117596A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse