NPI | 1700153285 |
---|---|
Former Name | KERRI ANN PEPKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01414) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP181310) |
363LF0000X Nurse Practitioner, Family (Licence: MA RN2261504) | |
363LF0000X Nurse Practitioner, Family (Licence: RI RN48135) | |
Enumeration Date | 2011-11-28 |
Last Update Date | 2024-04-09 |