Sheri Anne Hartog, LVN

Individual provider Active NPI Licensed Vocational Nurse · Emory, TX

NPI 1659859809 · NPPES record last updated Jul 31, 2018

Key facts

NPI
1659859809
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
212051 (TX)
Practice address
109 Katy Dr
Emory, TX 75440-2227
Phone
(903) 274-0458
NPI assigned
Jul 31, 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

LicenseStateTypeSpecialty
212051TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 212051 TX Yes

Addresses

Primary practice location

109 Katy Dr
Emory, TX 75440-2227

Mailing address

109 Katy Dr
Emory, TX 75440-2227
Phone (903) 274-0458

Other providers in Emory, TX

All providers in Emory, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.