Individual
SHERISE L.E. DEARDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 ALBER ST, WABASH, IN 46992-1015
(260) 569-2983
(260) 569-2990
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10001777A
IN
Other
Enumeration date
08/23/2010
Last updated
05/04/2026
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