Healthcare Provider Details
I. General information
NPI: 1982276796
Provider Name (Legal Business Name): MEREDITH MARIE KERR APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/12/2021
Last Update Date: 03/30/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9500 EUCLID AVE P57
CLEVELAND OH
44195
US
IV. Provider business mailing address
9500 EUCLID AVE P57
CLEVELAND OH
44195
US
V. Phone/Fax
- Phone: 216-444-2200
- Fax:
- Phone: 216-444-2200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364SP0808X |
| Taxonomy | Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | 0029270 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: