Individual
MRS. SHERRIE BOUISSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2142 SUNSET DR, SAN ANGELO, TX 76904-6829
(325) 245-4000
Mailing address
2142 SUNSET DR, SAN ANGELO, TX 76904-6829
(325) 245-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP110774
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140701706
—
TX
Enumeration date
04/06/2006
Last updated
09/01/2016
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