Provider Demographics
NPI:1679614291
Name:WARLICK, SHERRY DIANE (CNM)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:DIANE
Last Name:WARLICK
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 268838
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-8838
Mailing Address - Country:US
Mailing Address - Phone:918-582-0721
Mailing Address - Fax:918-582-4751
Practice Address - Street 1:4444 E. 41ST ST
Practice Address - Street 2:3RD FLOOR, STE B
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2527
Practice Address - Country:US
Practice Address - Phone:918-582-0721
Practice Address - Fax:918-582-4751
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK34066367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife