Basic Information
| Provider Information | |||||||||
| NPI: | 1194218966 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHERWOOD | ||||||||
| FirstName: | VERONICA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 123 | ||||||||
| Address2: | |||||||||
| City: | CANTON | ||||||||
| State: | SD | ||||||||
| PostalCode: | 570130123 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053563317 | ||||||||
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| Practice Location | |||||||||
| Address1: | 117 S SPRING ST | ||||||||
| Address2: | |||||||||
| City: | LUVERNE | ||||||||
| State: | MN | ||||||||
| PostalCode: | 561561916 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5072839511 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/07/2018 | ||||||||
| LastUpdateDate: | 08/23/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | CP001382 | SD | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health | 363LP0808X | 6562 | MN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.