Russell, Sherri Carlyle

Russell, Sherri Carlyle is an individual health care provider with primary practice located at 622 8Th Ave , Terre Haute IN 47804-2744. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Russell, Sherri Carlyle can be contacted via phone (812) 231-8377.

Contact Information

Primary practice address
622 8Th Ave Terre Haute IN 47804-2744
Phone: (812) 231-8377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 28098686A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71005423A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005423A Indiana

Profile Details

NPI number 1063819993
LBN Legal business name Russell, Sherri Carlyle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2014
Last updated May 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063819993 NPPES
Indiana Other 000000933823 ANTHEM
Indiana MEDICAID 201285510 ANTHEM

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