Provider Demographics
NPI:1902373681
Name:BURTON, SHERRIE RENEA (ARNP-CNP)
Entity type:Individual
Prefix:MRS
First Name:SHERRIE
Middle Name:RENEA
Last Name:BURTON
Suffix:
Gender:F
Credentials:ARNP-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3085 BROOKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-1355
Mailing Address - Country:US
Mailing Address - Phone:580-786-4008
Mailing Address - Fax:580-786-4012
Practice Address - Street 1:3085 BROOKWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533
Practice Address - Country:US
Practice Address - Phone:580-786-4008
Practice Address - Fax:580-786-4012
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-31
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0073442363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200813950AMedicaid