Provider Demographics
NPI:1104964618
Name:SHERMAN, TERRI (ANP)
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 335
Mailing Address - Street 2:
Mailing Address - City:BARNEVELD
Mailing Address - State:NY
Mailing Address - Zip Code:13304-0335
Mailing Address - Country:US
Mailing Address - Phone:315-896-6349
Mailing Address - Fax:315-792-7371
Practice Address - Street 1:SUNY INSTITUTE OF TECHNOLOGY, HORATIO ST. N.
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13504-3050
Practice Address - Country:US
Practice Address - Phone:315-792-7172
Practice Address - Fax:315-792-7371
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30-302163363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health