Provider Demographics
NPI:1164943692
Name:SEMEGRAM, ANDREW (APRN, FNP-C, CEN)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:SEMEGRAM
Suffix:
Gender:M
Credentials:APRN, FNP-C, CEN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 ATKINSON ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BELLOWS FALLS
Mailing Address - State:VT
Mailing Address - Zip Code:05101-1322
Mailing Address - Country:US
Mailing Address - Phone:201-693-3999
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 216
Practice Address - Street 2:
Practice Address - City:TOWNSHEND
Practice Address - State:VT
Practice Address - Zip Code:05353-0216
Practice Address - Country:US
Practice Address - Phone:802-365-7676
Practice Address - Fax:802-365-7294
Is Sole Proprietor?:No
Enumeration Date:2017-07-06
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0130940363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily