MEDICARE: KERRI ANN FRENCH FNP

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	363LF0000X	Family Nurse Practitioner	NP95014682	CA

General Provider Information

NPI Number	:	1174110845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERRI ANN FRENCH FNP

Provider Business Mailing Address
First Line	:	12340 MONTANA AVE APT 103
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-5235
Country	:	US
Telephone Number	:	310-508-6164
Fax Number	:

Provider Business Practice Location Address
First Line	:	5797 WASHINGTON BLVD
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90232-7336
Country	:	US
Telephone Number	:	323-452-9686
Fax Number	:

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

Provider Enumeration Date	:	12/28/2020
Last Update Date	:	12/28/2020

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Directions to “ KERRI ANN FRENCH FNP” Practice Location

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