Sherri Willis, LVN
Individual provider Active NPI Licensed Vocational Nurse · Gladewater, TX
NPI 1053890293 · NPPES record last updated Aug 8, 2018
Key facts
- NPI
- 1053890293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 189159 (TX)
- Practice address
- 707 N Main St
Gladewater, TX 75647-2207 - Phone
- (682) 234-6267
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 189159 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 189159 | TX | Yes |
Addresses
Primary practice location
707 N Main St
Gladewater, TX 75647-2207
Mailing address
412 W Old US Highway 80 Apt C
White Oak, TX 75693-2038
Phone (682) 234-6267
Other names
- Mrs. Sherri Herrada
Other providers in Gladewater, TX
- Michelle Stevenson Tarango
- Texan Nursing and Rehab of Gladwater LLC
- Victoria Elizabeth Thornton
- Union Grove Isd
- Walker Pharmacy
- Carly Ruth Wilson
- Heather M Wilson
- Juan Raul Zapata
All providers in Gladewater, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.