Provider Demographics
NPI:1083433833
Name:MORRRELL, SHERRY (LPN)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:MORRRELL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1562 TOWNSEND AVE APT 2C
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452-6000
Mailing Address - Country:US
Mailing Address - Phone:347-290-6542
Mailing Address - Fax:
Practice Address - Street 1:1562 TOWNSEND AVE APT 2C
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-6000
Practice Address - Country:US
Practice Address - Phone:347-290-6542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-08
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267111172V00000X, 207P00000X, 207Q00000X, 207N00000X, 207QA0505X, 207QG0300X, 251F00000X, 261Q00000X, 261QS1000X, 261QU0200X, 305S00000X, 164W00000X
251S00000X, 251J00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No172V00000XOther Service ProvidersCommunity Health Worker
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No251F00000XAgenciesHome Infusion
No251S00000XAgenciesCommunity/Behavioral Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No251J00000XAgenciesNursing Care
No261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No305S00000XManaged Care OrganizationsPoint of Service
No385H00000XRespite Care FacilityRespite Care