Provider Demographics
NPI:1932258571
Name:SHERRILL, CARLETTA (RNFA)
Entity Type:Individual
Prefix:
First Name:CARLETTA
Middle Name:
Last Name:SHERRILL
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 WEYBRIDGE CIR APT C
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1584
Mailing Address - Country:US
Mailing Address - Phone:561-790-5957
Mailing Address - Fax:
Practice Address - Street 1:116 WEYBRIDGE CIR APT C
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1584
Practice Address - Country:US
Practice Address - Phone:561-790-5957
Practice Address - Fax:772-335-2422
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1878862163WX0003X
363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient
Not Answered363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical