Provider Demographics
NPI:1487773545
Name:COLEMAN, SHERI B (CRNP)
Entity type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:B
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10722 SHINGLE OAK CT
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-2445
Mailing Address - Country:US
Mailing Address - Phone:703-764-9433
Mailing Address - Fax:410-647-8115
Practice Address - Street 1:1212 ASQUITHPINES PL
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2149
Practice Address - Country:US
Practice Address - Phone:410-647-4997
Practice Address - Fax:410-647-8115
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC000206363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal