Provider Demographics
NPI:1609697952
Name:WALSH, SHERRI L (LPN)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:L
Last Name:WALSH
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:L
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:21 SEMILLON CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-4740
Mailing Address - Country:US
Mailing Address - Phone:775-722-7987
Mailing Address - Fax:
Practice Address - Street 1:1575 DELUCCHI LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6578
Practice Address - Country:US
Practice Address - Phone:775-423-1223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV876708164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse