Provider Demographics
NPI:1982807525
Name:BROWN, SHERI A (FNP)
Entity Type:Individual
Prefix:MS
First Name:SHERI
Middle Name:A
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2000
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:VT
Mailing Address - Zip Code:05060-2000
Mailing Address - Country:US
Mailing Address - Phone:802-728-2372
Mailing Address - Fax:802-728-2613
Practice Address - Street 1:25 N MAIN ST
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-3246
Practice Address - Country:US
Practice Address - Phone:802-775-8032
Practice Address - Fax:802-775-3058
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101-0024186363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner