Provider Demographics
NPI:1720632300
Name:SHERROD, SENEDU A (BA)
Entity type:Individual
Prefix:MRS
First Name:SENEDU
Middle Name:A
Last Name:SHERROD
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3297 ORCHARD LAKE RD UNIT 200
Mailing Address - Street 2:
Mailing Address - City:KEEGO HARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48320-1305
Mailing Address - Country:US
Mailing Address - Phone:248-494-0447
Mailing Address - Fax:248-439-0517
Practice Address - Street 1:3297 ORCHARD LAKE RD UNIT 200
Practice Address - Street 2:
Practice Address - City:KEEGO HARBOR
Practice Address - State:MI
Practice Address - Zip Code:48320-1305
Practice Address - Country:US
Practice Address - Phone:248-494-0447
Practice Address - Fax:248-439-0517
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2024-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion