Sheryl Ladonna Matlock in St Louis - Licensed Practical Nurse

Sheryl Ladonna Matlock - NPI 1124172655

Sheryl Ladonna Matlock is a Licensed Practical Nurse in St Louis, Missouri. Sheryl Ladonna Matlock practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Sheryl Ladonna Matlock is 1124172655. The last update date is 2007-07-08.

Sheryl Ladonna Matlock's current location address is 5471 Dr Martin Luther King Drive, St Louis, Missouri. You can contact this provider via phone number 3143675820 and fax number 3143677010. The mailing address for Sheryl Ladonna Matlock is 5471 Dr Martin Luther King Drive, St Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Sheryl Ladonna Matlock
Address 5471 Dr Martin Luther King Drive, St Louis, Missouri
Phone Number 3143675820
Fax Number 3143677010
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1124172655
Provider Enumeration Date 2007-01-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5471 Dr Martin Luther King Drive
City St Louis
State Missouri (MO)
Post Code 631124265
Phone Number 3143675820
Fax Number 3143677010

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 2000149166
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

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FAQs about Sheryl Ladonna Matlock

What is the unique 10-digit identifier code assigned to Sheryl Ladonna Matlock by the Centers for Medicare & Medicaid Services?

The Sheryl Ladonna Matlock has been issued the NPI (National Provider Identifier) 1124172655 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Sheryl Ladonna Matlock is physically located?

The Sheryl Ladonna Matlock is physically situated at the following address: 5471 Dr Martin Luther King Drive, St Louis, MO, 631124265.

What is Sheryl Ladonna Matlock's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Sheryl Ladonna Matlock is Licensed Practical Nurse, and the taxonomy code that categorizes this field of expertise is 164W00000X.

On what date did the Sheryl Ladonna Matlock receive the assignment of its 1124172655 from the Centers for Medicare & Medicaid Services?

The Sheryl Ladonna Matlock was issued its 1124172655 by the Centers for Medicare & Medicaid Services on 2007-01-22.

As of what date was the information pertaining to Sheryl Ladonna Matlock, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Sheryl Ladonna Matlock, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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