Provider Demographics
NPI:1538132998
Name:KEMPTON, SHERRYL ANN (APRN,BC)
Entity Type:Individual
Prefix:
First Name:SHERRYL
Middle Name:ANN
Last Name:KEMPTON
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 YORK HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEW SHARON
Mailing Address - State:ME
Mailing Address - Zip Code:04955-3729
Mailing Address - Country:US
Mailing Address - Phone:207-778-4613
Mailing Address - Fax:207-621-4895
Practice Address - Street 1:VAM&ROC
Practice Address - Street 2:1 VA CENTER
Practice Address - City:TOGUS
Practice Address - State:ME
Practice Address - Zip Code:04330
Practice Address - Country:US
Practice Address - Phone:207-623-8411
Practice Address - Fax:207-621-4895
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER27732363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily