Provider Demographics
NPI:1881861136
Name:VACHER, KERRI A (FNPC)
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:A
Last Name:VACHER
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 LINCOLNVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6454
Mailing Address - Country:US
Mailing Address - Phone:207-322-8922
Mailing Address - Fax:207-544-5156
Practice Address - Street 1:69 LINCOLNVILLE AVE
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6454
Practice Address - Country:US
Practice Address - Phone:207-322-8922
Practice Address - Fax:833-464-3855
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP171054363LF0000X, 363L00000X
MENP352175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty