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General NPI Number Information
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NPI Number | 1942998984
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Entity Type | Individual
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Provider Name | KERRIE ANNE ISEMAN FNP
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Gender | Female
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 5800 LAKE WRIGHT DR
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City | NORFOLK
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State | VA
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Zip | 23502-1804
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Country | US
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Telephone | 866-933-8387
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Fax |
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Provider Business Mailing Address
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Address Line | 646 OLEANDER CIR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-4220
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Country | US
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Telephone | 757-589-5874
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024184668
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License Number State | VA
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