Individual
SHERYL LIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4015 EXECUTIVE PARK DR STE 320, CINCINNATI, OH 45241-4015
(513) 563-0488
Mailing address
2103 MADISON DR, HEBRON, KY 41048-7399
(859) 444-2286
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3018525
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0026892
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0415158
—
OH
Enumeration date
07/07/2020
Last updated
12/12/2022
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