NPI Code Details Logo

NPI 1871687459

NPI 1871687459 : WENDY ANN SERGEANT NP, DNP : BENNINGTON, VT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1871687459
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    WENDY ANN SERGEANT NP, DNP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/03/2006
-----------------------------------------------------
    Last Update Date     |    07/22/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    100 LEDGEHILL RD 
-----------------------------------------------------
    City                 |    BENNINGTON
-----------------------------------------------------
    State                |    VT
-----------------------------------------------------
    Zip                  |    05201-5200
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    802-442-5491
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 576 
-----------------------------------------------------
    City                 |    JACKSONVILLE
-----------------------------------------------------
    State                |    VT
-----------------------------------------------------
    Zip                  |    05342-0576
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    802-435-0616
-----------------------------------------------------
    Fax                  |    508-637-1605
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LA2200X
-----------------------------------------------------
    Taxonomy Name        |    Adult Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    273780
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    26.0145267
-----------------------------------------------------
    License Number State |    VT
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    101.0134780
-----------------------------------------------------
    License Number State |    VT
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    103TP0016X
-----------------------------------------------------
    Taxonomy Name        |    Prescribing (Medical) Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.