Provider Demographics
NPI:1215712047
Name:DORSEY, SHERRY DIANNA (RN)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:DIANNA
Last Name:DORSEY
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 1:254 STRATUS DR
Mailing Address - Street 2:
Mailing Address - City:KEARNEYSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25430-2815
Mailing Address - Country:US
Mailing Address - Phone:240-305-4149
Mailing Address - Fax:
Practice Address - Street 1:254 STRATUS DR
Practice Address - Street 2:
Practice Address - City:KEARNEYSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25430-2815
Practice Address - Country:US
Practice Address - Phone:240-305-4149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN60122163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse