NPI | 1306234463 |
---|---|
Former Name | KERRI LYNN FITZPATRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 057762-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP141015) |
363LF0000X Nurse Practitioner, Family (Licence: NH 057762-23) | |
Enumeration Date | 2014-12-24 |
Last Update Date | 2024-10-10 |