Provider Demographics
NPI:1174405930
Name:ECHTERNKAMP, SHERRILL ELDREN JR
Entity type:Individual
Prefix:MR
First Name:SHERRILL
Middle Name:ELDREN
Last Name:ECHTERNKAMP
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ELDREN
Other - Middle Name:
Other - Last Name:ECHTERNKAMP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:812 MAPLE CT
Mailing Address - Street 2:
Mailing Address - City:HICKMAN
Mailing Address - State:NE
Mailing Address - Zip Code:68372-1404
Mailing Address - Country:US
Mailing Address - Phone:402-304-1972
Mailing Address - Fax:
Practice Address - Street 1:812 MAPLE CT
Practice Address - Street 2:
Practice Address - City:HICKMAN
Practice Address - State:NE
Practice Address - Zip Code:68372-1404
Practice Address - Country:US
Practice Address - Phone:402-304-1972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion