Provider Demographics
NPI:1750370896
Name:WOOD-STIEG, SHERRY LEE (RN,WHNP-BC)
Entity type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:LEE
Last Name:WOOD-STIEG
Suffix:
Gender:F
Credentials:RN,WHNP-BC
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Mailing Address - Street 1:5876 160TH AVE
Mailing Address - Street 2:
Mailing Address - City:HERSEY
Mailing Address - State:MI
Mailing Address - Zip Code:49639-8774
Mailing Address - Country:US
Mailing Address - Phone:231-510-3902
Mailing Address - Fax:231-796-6305
Practice Address - Street 1:110 SANBORN AVE
Practice Address - Street 2:SUITE B
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-1770
Practice Address - Country:US
Practice Address - Phone:231-796-8612
Practice Address - Fax:231-796-6305
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2012-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704114610363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4704114610OtherNURSING LICENSE