Provider Demographics
NPI:1750521225
Name:KEMPTON, LORRAINE (NP)
Entity type:Individual
Prefix:
First Name:LORRAINE
Middle Name:
Last Name:KEMPTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4545 E CHANDLER BLVD
Mailing Address - Street 2:STE 305
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-7643
Mailing Address - Country:US
Mailing Address - Phone:480-785-7546
Mailing Address - Fax:480-940-1760
Practice Address - Street 1:4545 E CHANDLER BLVD
Practice Address - Street 2:STE 305
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-7643
Practice Address - Country:US
Practice Address - Phone:480-785-7546
Practice Address - Fax:480-940-1760
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZRN131680163W00000X
AZAP7901363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse