Provider Demographics
NPI:1285324772
Name:MCMAHAN, SHERRI ANN (RN)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:ANN
Last Name:MCMAHAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:ANN
Other - Last Name:HOFFART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9450 OAK AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-2825
Mailing Address - Country:US
Mailing Address - Phone:916-316-0572
Mailing Address - Fax:
Practice Address - Street 1:4600 BROADWAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-1527
Practice Address - Country:US
Practice Address - Phone:916-874-9670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA444731163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse