Basic Information
| Provider Information | |||||||||
| NPI: | 1285162438 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MANNS | ||||||||
| FirstName: | SHERRY | ||||||||
| MiddleName: | G | ||||||||
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| Credential: | LPN | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 689 | ||||||||
| Address2: | |||||||||
| City: | CALERA | ||||||||
| State: | AL | ||||||||
| PostalCode: | 350400689 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2056684308 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 151 HAMILTON LN | ||||||||
| Address2: | |||||||||
| City: | CALERA | ||||||||
| State: | AL | ||||||||
| PostalCode: | 350408700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2056684308 | ||||||||
| FaxNumber: | 2056680894 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2017 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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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 | 164W00000X | 2-047778 | AL | Y | Nursing Service Providers | Licensed Practical Nurse |
No ID Information.