Provider Demographics
NPI:1952159576
Name:WERTZ, SHERYL (RN)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:
Last Name:WERTZ
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 1:23510 EMMONS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA STATION
Mailing Address - State:OH
Mailing Address - Zip Code:44028-9469
Mailing Address - Country:US
Mailing Address - Phone:440-227-0409
Mailing Address - Fax:
Practice Address - Street 1:23510 EMMONS RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA STATION
Practice Address - State:OH
Practice Address - Zip Code:44028-9469
Practice Address - Country:US
Practice Address - Phone:440-227-0409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH277138163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse