Provider Demographics
NPI:1730419987
Name:MASON, SHERYLE ANN (LPN)
Entity type:Individual
Prefix:MS
First Name:SHERYLE
Middle Name:ANN
Last Name:MASON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:SHERYL
Other - Middle Name:ANN
Other - Last Name:HARMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 CHESTER CT
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-4215
Mailing Address - Country:US
Mailing Address - Phone:610-639-1464
Mailing Address - Fax:
Practice Address - Street 1:120 CHESTER CT
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-4215
Practice Address - Country:US
Practice Address - Phone:610-639-1464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN58027164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse