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NPI Code Detail

MEDICARE: MRS. KERRI SULLIVAN ROBERTSON ARNP

MEDICARE: MRS. KERRI SULLIVAN ROBERTSON ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner9168981FL

General Provider Information

NPI Number : 1770871634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KERRI SULLIVAN ROBERTSON ARNP
Provider Business Mailing Address
First Line : 7240 7TH PL N
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-3801
Country : US
Telephone Number : 561-969-6663
Fax Number :
Provider Business Practice Location Address
First Line : 7240 7TH PL N
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-3801
Country : US
Telephone Number : 561-969-6663
Fax Number : 561-721-3106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2011
Last Update Date : 02/18/2020

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