Provider Demographics
NPI:1265092696
Name:WAMPLER, KAYLEE (FNP)
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:
Last Name:WAMPLER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 KAYLEIGH LYN LN
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-6062
Mailing Address - Country:US
Mailing Address - Phone:508-922-5254
Mailing Address - Fax:
Practice Address - Street 1:6 WILKINS DR
Practice Address - Street 2:UNIT 110
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762
Practice Address - Country:US
Practice Address - Phone:774-225-6035
Practice Address - Fax:833-428-4981
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2308180163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse