Individual
SHERRY E MOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5091 W BETHEL AVE, MUNCIE, IN 47304-8511
(765) 286-8888
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28171266A
IN
367500000X
Certified Registered Nurse Anesthetist
402718-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000667522
ANTHEM PROVIDER NUMBER
IN
05
—
200849250
—
IN
Enumeration date
11/03/2006
Last updated
02/10/2023
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