Provider Demographics
NPI:1932449733
Name:MKHWANE, SHERRI MARIE
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:MARIE
Last Name:MKHWANE
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 1:4960 E STEVENSON CT
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34452-7857
Mailing Address - Country:US
Mailing Address - Phone:352-287-8696
Mailing Address - Fax:
Practice Address - Street 1:4960 E STEVENSON CT
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452-7857
Practice Address - Country:US
Practice Address - Phone:352-287-8696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-15
Last Update Date:2015-10-01
Deactivation Date:2014-08-26
Deactivation Code:
Reactivation Date:2015-10-01
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health