Provider Demographics
NPI:1033705801
Name:CALL, SHERRY ANN (RN BSN)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:ANN
Last Name:CALL
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:ANN
Other - Last Name:STEVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7123 W 2ND PL
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-8525
Mailing Address - Country:US
Mailing Address - Phone:606-416-1538
Mailing Address - Fax:
Practice Address - Street 1:4309 W 27TH PL STE 300
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99338-2909
Practice Address - Country:US
Practice Address - Phone:509-491-3889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-16
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61115048163W00000X
WAAP61389563176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse