Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | NP-05728 | OH |
NPI | 1013033737 |
---|---|
Provider Name | Mrs. Sheryl L Ross |
First Address | Zanesville, OH 43701-2836 |
Second Address | Zanesville, OH 43701-2836 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2007 |
Last Update Date | 14/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1104008242 | MUSK. NPI - FFS (01) | |
1205018348 | MORGAN NPI - FFS (01) | |
1528257789 | MORGAN NPI - FQHC (01) | |
1841472982 | MUSK. NPI - FQHC (01) | |
2339017 | (05) | OH |
2790547 | MCAID, MUSK. - FQHC (01) | |
2790574 | MCAID, MUSK. - FFS (01) | |
2790583 | MCAID, MORGAN - FQHC (01) | |
2790609 | MCAID,MORGAN - FFS (01) |