Provider Demographics
NPI:1972350890
Name:KOMPINSKI, SHERI A
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:A
Last Name:KOMPINSKI
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 1:2591 W BLOOD RD
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-1215
Mailing Address - Country:US
Mailing Address - Phone:716-860-3958
Mailing Address - Fax:
Practice Address - Street 1:2591 W BLOOD RD
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-1215
Practice Address - Country:US
Practice Address - Phone:716-860-3958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY53126301163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics