Provider Demographics
NPI:1073798666
Name:BARNARD, SHERRY L (APRN)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:L
Last Name:BARNARD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 CENTRAL ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:VT
Mailing Address - Zip Code:05060-1039
Mailing Address - Country:US
Mailing Address - Phone:802-431-6030
Mailing Address - Fax:802-735-1664
Practice Address - Street 1:17 CENTRAL ST UNIT 1
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:VT
Practice Address - Zip Code:05060-1039
Practice Address - Country:US
Practice Address - Phone:802-413-6030
Practice Address - Fax:802-735-1664
Is Sole Proprietor?:No
Enumeration Date:2008-01-02
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0134372363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1014377Medicaid