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Individual
MRS. SHERRY LORRAINE ANDERSON
Active
Individual
MRS. SHERRY LORRAINE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN107552
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20250I2271
MEDICARE PTAN
GA
05
—
281611730D
—
GA
01
—
RN107552
LICENSE
GA
Enumeration date
02/28/2007
Last updated
07/30/2015
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