Provider Demographics
NPI:1174585921
Name:GAIRRETT, SHERRY SUE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:SUE
Last Name:GAIRRETT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 5TH AVE E
Mailing Address - Street 2:PO BOX 400
Mailing Address - City:SCOBEY
Mailing Address - State:MT
Mailing Address - Zip Code:59263
Mailing Address - Country:US
Mailing Address - Phone:406-487-2296
Mailing Address - Fax:406-487-2327
Practice Address - Street 1:105 5TH AVE E
Practice Address - Street 2:
Practice Address - City:SCOBEY
Practice Address - State:MT
Practice Address - Zip Code:59263-7832
Practice Address - Country:US
Practice Address - Phone:406-487-2296
Practice Address - Fax:406-487-2327
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT100720363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS160408Medicare ID - Type Unspecified
KS160913Medicare ID - Type Unspecified
KSP12083Medicare UPIN