Individual
SHERRI LYNN THEBERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC, LMT, CD
Contact information
Practice address
60 HOXSIE AVE, WARWICK, RI 02889-1444
(340) 514-3299
Mailing address
60 HOXSIE AVE, WARWICK, RI 02889-1444
(340) 514-3299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
11157
VI
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
11157
VI
163WM0102X
Maternal Newborn Registered Nurse
11157
VI
163WM1400X
Nurse Massage Therapist (NMT)
11157
VI
374J00000X
Doula
8125-26
VI
Other
Enumeration date
09/01/2016
Last updated
05/11/2022
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