Provider Demographics
NPI:1437137791
Name:WEINSTEIN, SHERYL C (CPNP)
Entity type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:C
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:MS
Other - First Name:SHERRY
Other - Middle Name:C
Other - Last Name:WEINSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPNP
Mailing Address - Street 1:684 BELMONT BAY DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-5401
Mailing Address - Country:US
Mailing Address - Phone:571-408-4485
Mailing Address - Fax:571-408-4485
Practice Address - Street 1:684 BELMONT BAY DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-5401
Practice Address - Country:US
Practice Address - Phone:571-408-4485
Practice Address - Fax:571-408-4485
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024145150363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics