Provider Demographics
NPI:1902462989
Name:DRAKES, SHERRYANN HANNA
Entity Type:Individual
Prefix:MS
First Name:SHERRYANN
Middle Name:HANNA
Last Name:DRAKES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2326 FARRAGUT ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-1626
Mailing Address - Country:US
Mailing Address - Phone:954-993-1162
Mailing Address - Fax:
Practice Address - Street 1:2326 FARRAGUT ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-1626
Practice Address - Country:US
Practice Address - Phone:954-993-1162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-14
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program