Healthcare Provider Details

I. General information

NPI: 1801989546
Provider Name (Legal Business Name): MARGARET LOUISE KERR C.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 10/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 BOARDMAN-CANFIELD RD
YOUNGSTOWN OH
44512-4226
US

IV. Provider business mailing address

66 DELMAR DRIVE
GREENVILLE PA
16125-7203
US

V. Phone/Fax

Practice location:
  • Phone: 330-629-2888
  • Fax: 330-629-8940
Mailing address:
  • Phone: 724-646-2086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP007802
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP006513D
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: