Provider Demographics
NPI:1871722595
Name:DELLANGELO, SHERYL LYNN (RN)
Entity type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:LYNN
Last Name:DELLANGELO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:SHERYL
Other - Middle Name:LYNN
Other - Last Name:ROSSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2331 ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-2319
Mailing Address - Country:US
Mailing Address - Phone:906-362-6275
Mailing Address - Fax:
Practice Address - Street 1:722 HIGH ST
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-3720
Practice Address - Country:US
Practice Address - Phone:906-226-9728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704250611163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse