Healthcare Provider Details

I. General information

NPI: 1477465623
Provider Name (Legal Business Name): KERRI L MYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1697 CROWN AVE
LANCASTER PA
17601-6310
US

IV. Provider business mailing address

3 HEMLOCK DR
MARIETTA PA
17547-8529
US

V. Phone/Fax

Practice location:
  • Phone: 717-299-5000
  • Fax:
Mailing address:
  • Phone: 717-413-7159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP037191
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: