Provider Demographics
NPI:1932239449
Name:BEARSS, SIRRI ABINWI (WHNP)
Entity type:Individual
Prefix:MRS
First Name:SIRRI
Middle Name:ABINWI
Last Name:BEARSS
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:MS
Other - First Name:SIRRI
Other - Middle Name:ABINWI
Other - Last Name:BANDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP
Mailing Address - Street 1:5943 STADIUM DR
Mailing Address - Street 2:STE 1
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-3016
Mailing Address - Country:US
Mailing Address - Phone:269-552-2836
Mailing Address - Fax:
Practice Address - Street 1:1535 GULL RD
Practice Address - Street 2:STE 250
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49048-1650
Practice Address - Country:US
Practice Address - Phone:269-226-5927
Practice Address - Fax:269-226-7904
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV54720163W00000X
OH317573163W00000X
NV933363LW0102X
MI4704316732363LW0102X, 363L00000X
CO192530163W00000X
CO10145363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner