Provider Demographics
NPI:1154096543
Name:DREW, SHERYL (APRN)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:
Last Name:DREW
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 CINNAMON FERN LN
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-2687
Mailing Address - Country:US
Mailing Address - Phone:386-450-0343
Mailing Address - Fax:
Practice Address - Street 1:711 CINNAMON FERN LN
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-2687
Practice Address - Country:US
Practice Address - Phone:386-450-0343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11011993207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11011993OtherFLORIDA BON