Provider Demographics
NPI:1942019054
Name:SIRMONS-MCCARTY, SHERYL LYNN (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:LYNN
Last Name:SIRMONS-MCCARTY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:SHERYL
Other - Middle Name:LYNN
Other - Last Name:MCCARTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:PO BOX 321
Mailing Address - Street 2:
Mailing Address - City:CLARE
Mailing Address - State:MI
Mailing Address - Zip Code:48617-0321
Mailing Address - Country:US
Mailing Address - Phone:727-953-2006
Mailing Address - Fax:
Practice Address - Street 1:411 N MCEWAN ST APT 2
Practice Address - Street 2:
Practice Address - City:CLARE
Practice Address - State:MI
Practice Address - Zip Code:48617-1428
Practice Address - Country:US
Practice Address - Phone:727-953-2006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704262210363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4704262210OtherMICHIGAN APRN LICENSE NUMBER