Sherry L Desalle, FNP is a
Nurse Practitioner - Family based in Manlius, Illinois. Sherry L Desalle is licensed to practice in Illinois (license number ) and her current practice location is
320 South Second Street, Manlius, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 445-2273.
NPI number for Sherry L Desalle is 1336114156 and her current mailing address is 320 South Second Street, Manlius, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336114156.
Provider's Profile
| Full Name | Sherry L Desalle |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 320 South Second Street, Manlius, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336114156
- Provider Enumeration Date: 02/23/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Sherry L Desalle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336114156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sherry L Desalle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sherry L Desalle, FNP
320 South Second Street,
Manlius, IL 61338
Ph: (815) 445-2273 | Sherry L Desalle, FNP
320 South Second Street,
Manlius, IL 61338
Ph: (815) 445-2273 |
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