Provider Demographics
NPI:1861922882
Name:HASSAN, SHERRIE E (LPN)
Entity type:Individual
Prefix:
First Name:SHERRIE
Middle Name:E
Last Name:HASSAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1027
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-0027
Mailing Address - Country:US
Mailing Address - Phone:724-346-2123
Mailing Address - Fax:724-346-0366
Practice Address - Street 1:899 DONNA DR
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-2937
Practice Address - Country:US
Practice Address - Phone:724-346-2123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-13
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN289471164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse