Provider Demographics
NPI:1700645504
Name:DAYTON, SHERRI ANN (AGPCNP-BC)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:ANN
Last Name:DAYTON
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 MAIN ST BLDG 4
Mailing Address - Street 2:
Mailing Address - City:PLANTSVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06479-1567
Mailing Address - Country:US
Mailing Address - Phone:860-378-2891
Mailing Address - Fax:860-378-2894
Practice Address - Street 1:710 MAIN ST BLDG 4
Practice Address - Street 2:
Practice Address - City:PLANTSVILLE
Practice Address - State:CT
Practice Address - Zip Code:06479-1567
Practice Address - Country:US
Practice Address - Phone:860-378-2891
Practice Address - Fax:860-378-2894
Is Sole Proprietor?:No
Enumeration Date:2024-03-15
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT13002363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology