Individual
SHERRY NORTHWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16960 POLK ST, MILO, IA 50166-8850
(515) 975-6796
Mailing address
16960 POLK ST, MILO, IA 50166-8850
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
114006
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236
VA
IA
05
—
236
—
IA
Enumeration date
01/27/2023
Last updated
01/27/2023
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