Healthcare Provider Details

I. General information

NPI: 1750762951
Provider Name (Legal Business Name): KERRI DAUNIS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2015
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 MEDICAL CENTER PKWY STE 201
AUGUSTA ME
04330-8160
US

IV. Provider business mailing address

2455 MANDEVILLE LN APT 1607
ALEXANDRIA VA
22314-6165
US

V. Phone/Fax

Practice location:
  • Phone: 207-620-1136
  • Fax: 207-430-4020
Mailing address:
  • Phone: 203-725-6037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number006196
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRNA213003
License Number StateME
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024185767
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: