Provider Demographics
NPI:1861781999
Name:TAYLOR, SHERRY NICOLA (ARNP)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:NICOLA
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 N MILITARY TRL
Mailing Address - Street 2:STE 2A
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6058
Mailing Address - Country:US
Mailing Address - Phone:561-683-4100
Mailing Address - Fax:561-683-4755
Practice Address - Street 1:1195 N MILITARY TRL
Practice Address - Street 2:STE 2A
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6058
Practice Address - Country:US
Practice Address - Phone:561-683-4100
Practice Address - Fax:561-683-4755
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9166999363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily