Provider Demographics
NPI:1871977868
Name:PRICE, SHERYL D (RN CCM)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:D
Last Name:PRICE
Suffix:
Gender:F
Credentials:RN CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 BETHANY RD
Mailing Address - Street 2:
Mailing Address - City:BEACON FALLS
Mailing Address - State:CT
Mailing Address - Zip Code:06403-1403
Mailing Address - Country:US
Mailing Address - Phone:203-714-7583
Mailing Address - Fax:203-714-7583
Practice Address - Street 1:301 BETHANY RD
Practice Address - Street 2:
Practice Address - City:BEACON FALLS
Practice Address - State:CT
Practice Address - Zip Code:06403-1403
Practice Address - Country:US
Practice Address - Phone:203-714-7583
Practice Address - Fax:203-714-7583
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 3086852163WC0400X
CT10.074355163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management