Provider Demographics
NPI:1659305365
Name:VOKOUN, SHERRY RUTH (ARNP)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:RUTH
Last Name:VOKOUN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3014 VIEWCREST DR NE
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310
Mailing Address - Country:US
Mailing Address - Phone:360-479-3492
Mailing Address - Fax:
Practice Address - Street 1:450 SOUTH KITSAP BLVD
Practice Address - Street 2:SUITE 2300 KITSAP CHILDRENS CLINIC LLP
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366
Practice Address - Country:US
Practice Address - Phone:360-692-9362
Practice Address - Fax:360-692-6214
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00057499363LP0200X
WAAP30002478363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9606823Medicaid
WAAP30002478OtherAP
WARN00057499OtherRN
WARN00057499OtherRN
MF0085402OtherDEA
WARN00057499OtherRN