Individual provider · Type 1 NPI
Sherrill Diane Petherbridge, FNP
Occupational Health Nurse Practitioner · Santa Rosa, CA
NPI number
1790946085
Active
Practice location
736 W Jasmine Cir
Santa Rosa, CA 95407-6778
Mailing address
736 W. Jasmine Circle
Santa Rosa, CA 95407-6778
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Health Nurse Practitioner Primary | 363LX0106X | NP11649 (CA) |
Occupational Health Nurse Practitioner: Definition to come...
About NPI 1790946085
Sherrill Diane Petherbridge, FNP's National Provider Identifier is 1790946085, issued on Jun 19, 2008. The primary taxonomy on file is Occupational Health Nurse Practitioner (363LX0106X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 8, 2011.