Provider Demographics
NPI:1780177147
Name:HARPEL, SHERYL ELAINE
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:ELAINE
Last Name:HARPEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 BARTLETT DR
Mailing Address - Street 2:
Mailing Address - City:WEARE
Mailing Address - State:NH
Mailing Address - Zip Code:03281-5339
Mailing Address - Country:US
Mailing Address - Phone:603-305-0348
Mailing Address - Fax:
Practice Address - Street 1:1730 ALPINE BLVD
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:CA
Practice Address - Zip Code:91901-3876
Practice Address - Country:US
Practice Address - Phone:619-326-4445
Practice Address - Fax:619-722-1721
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP11359363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily