Provider Demographics
NPI:1386726198
Name:BARZDUKAS, SHERRI ANNE (FNP-C)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:ANNE
Last Name:BARZDUKAS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:ANNE
Other - Last Name:VANMAANEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1801 16TH ST
Mailing Address - Street 2:HOSPITALIST OFFICE
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-5154
Mailing Address - Country:US
Mailing Address - Phone:970-378-4529
Mailing Address - Fax:970-378-4531
Practice Address - Street 1:1801 16TH ST.
Practice Address - Street 2:NORTH COLORADO MEDICAL CENTER
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-5154
Practice Address - Country:US
Practice Address - Phone:970-378-4529
Practice Address - Fax:970-378-4531
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN 115108363LF0000X
CO115108363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CORN 115108OtherRN
CORN 115108OtherRN
COQ67969Medicare UPIN
COCOAAA1403Medicare UPIN