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Individual

SHERRI A WALLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7200 E INDIANA ST, EVANSVILLE, IN 47715-2753
(812) 476-7200
(812) 471-4514
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 476-7200
(812) 471-4514

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001796A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71001796A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000353774
ANTHEM PIN
IN
05
200503770
IN
05
78015849
KY
Enumeration date
06/15/2006
Last updated
06/24/2013
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