Provider Demographics
NPI:1306690649
Name:CARRASCA, SHEIRYL SACRO (RN)
Entity type:Individual
Prefix:
First Name:SHEIRYL
Middle Name:SACRO
Last Name:CARRASCA
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 1:8641 DEDION CT
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95828-5878
Mailing Address - Country:US
Mailing Address - Phone:916-267-1078
Mailing Address - Fax:
Practice Address - Street 1:8641 DEDION CT
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95828-5878
Practice Address - Country:US
Practice Address - Phone:916-267-1078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA775055163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse