Healthcare Provider Details

I. General information

NPI: 1225220908
Provider Name (Legal Business Name): KERRI NARDONE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2007
Last Update Date: 06/07/2021
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11016 NEW HAMPSHIRE AVE
SILVER SPRING MD
20904-2602
US

IV. Provider business mailing address

11016 NEW HAMPSHIRE AVE
SILVER SPRING MD
20904-2602
US

V. Phone/Fax

Practice location:
  • Phone: 301-681-3300
  • Fax:
Mailing address:
  • Phone: 301-681-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberP21926
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: