Provider Demographics
NPI:1700683422
Name:SHERMAN, CAROLINE TIESE
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:TIESE
Last Name:SHERMAN
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 1:91 STATE RT 5 # 1
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-1308
Mailing Address - Country:US
Mailing Address - Phone:646-744-9469
Mailing Address - Fax:
Practice Address - Street 1:91 STATE RT 5 # 1
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-1308
Practice Address - Country:US
Practice Address - Phone:646-744-9469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula