Individual
MS. SHERRY K WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP
Contact information
Practice address
14701 DETROIT AVE, SUITE 250, LAKEWOOD, OH 44107-4115
(216) 221-5901
(216) 221-5881
Mailing address
31713 TRADEWINDS DR, AVON LAKE, OH 44012-2915
(440) 835-5833
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN-148453
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0196272
—
OH
Enumeration date
02/20/2007
Last updated
12/06/2011
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