Basic Information
Provider Information
NPI: 1386947695
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GIORDANA
FirstName: SHERI
MiddleName: L.
NamePrefix: DR.
NameSuffix:  
Credential: FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 192 N CASAGRANDA RD
Address2:  
City: CRYSTAL FALLS
State: MI
PostalCode: 499209741
CountryCode: US
TelephoneNumber: 9068227224
FaxNumber:  
Practice Location
Address1: 205 OSCEOLA ST.
Address2: ASPIRUS KEWEENAW
City: LAURIUM
State: MI
PostalCode: 49913
CountryCode: US
TelephoneNumber: 9063376500
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/08/2010
LastUpdateDate: 12/08/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X4704139023MIY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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