Provider Demographics
NPI:1609695600
Name:HITE, SHERRY LYNN
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:LYNN
Last Name:HITE
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 1:48 ROTATION CT
Mailing Address - Street 2:
Mailing Address - City:BUNKER HILL
Mailing Address - State:WV
Mailing Address - Zip Code:25413-3459
Mailing Address - Country:US
Mailing Address - Phone:304-839-9474
Mailing Address - Fax:
Practice Address - Street 1:48 ROTATION CT
Practice Address - Street 2:
Practice Address - City:BUNKER HILL
Practice Address - State:WV
Practice Address - Zip Code:25413-3459
Practice Address - Country:US
Practice Address - Phone:304-839-9474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant