Individual
MRS. SHERRY BALES WETZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 323-8456
Mailing address
11913 MOUNTAIN LAUREL DR, NORTH CHESTERFIELD, VA 23236-2549
(804) 837-2674
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024166716
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024166716
ADULT NURSE PRACTITIONER LICENSE
VA
Enumeration date
08/05/2015
Last updated
08/05/2015
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