MEDICARE: ANNEMARIE KERRY NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	RN2294060	MA

General Provider Information

NPI Number	:	1114511748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNEMARIE KERRY NP

Provider Business Mailing Address
First Line	:	275 SANDWICH ST
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-2183
Country	:	US
Telephone Number	:	508-746-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 SANDWICH ST
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-2183
Country	:	US
Telephone Number	:	508-746-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2021
Last Update Date	:	03/06/2026

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Directions to “ ANNEMARIE KERRY NP” Practice Location

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