Provider Demographics
NPI:1588908289
Name:WARD, SHERRI ANN (STNA)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:ANN
Last Name:WARD
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 S ARCH AVE
Mailing Address - Street 2:1
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-4037
Mailing Address - Country:US
Mailing Address - Phone:330-823-7212
Mailing Address - Fax:
Practice Address - Street 1:1150 S ARCH AVE
Practice Address - Street 2:1
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4037
Practice Address - Country:US
Practice Address - Phone:330-823-7212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376464570597376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide