Provider Demographics
NPI:1558246801
Name:DALTON, SHERRILYN
Entity type:Individual
Prefix:
First Name:SHERRILYN
Middle Name:
Last Name:DALTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 STATE LINE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27053-8247
Mailing Address - Country:US
Mailing Address - Phone:336-618-2929
Mailing Address - Fax:
Practice Address - Street 1:3407 W WENDOVER AVE STE D
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1584
Practice Address - Country:US
Practice Address - Phone:336-589-1223
Practice Address - Fax:888-815-0892
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC147310163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse