Individual
PENNY L SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1255 N OAKLAND BLVD, WATERFORD, MI 48327-1582
(248) 406-0108
Mailing address
2305 W HIGHLAND RD, HIGHLAND, MI 48357-4208
(248) 887-3436
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
4704106898
MI
163WA2000X
Administrator Registered Nurse
Primary
4704106898
MI
Other
Enumeration date
12/29/2007
Last updated
12/29/2007
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