Sheri Lynn Delich

Individual provider Active NPI Driver · Fridley, MN

NPI 1730540469 · NPPES record last updated Mar 8, 2016

Key facts

NPI
1730540469
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
R558120061918 (MN)
Practice address
5284 Taylor St NE
Fridley, MN 55421-1857
Phone
(651) 500-1838
NPI assigned
Mar 8, 2016
Sex
Female
Sole proprietor
Yes

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
R558120061918MNMDDriver

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X R558120061918 MN Yes

Addresses

Primary practice location

5284 Taylor St NE
Fridley, MN 55421-1857

Mailing address

5284 Taylor St NE
Fridley, MN 55421-1857
Phone (651) 500-1838

Other identifiers

IdentifierTypeStateIssuer
00876171OtherMNMHCP MEMBER NUMBER
X102141OtherMNWORKER ID
00823837OtherMNCASE NUMBER

Other names

  • Sheri Lynn Meiners Former name

Other providers in Fridley, MN

All providers in Fridley, MN · Driver in Minnesota

Sources for this page

Verify at the official NPI Registry.