Individual
CHERRY SHERLYN ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5385 FRANKLIN BLVD, SACRAMENTO, CA 95820-4717
(916) 452-7305
(916) 452-9753
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 795-3600
(408) 287-0405
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
548255
CA
163WC1500X
Community Health Registered Nurse
548255
CA
163WM0102X
Maternal Newborn Registered Nurse
548255
CA
363L00000X
Nurse Practitioner
Primary
20744
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR157Z
MEDICARE PTAN
CA
Enumeration date
12/21/2006
Last updated
11/15/2012
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