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NPI Code Detail

MEDICARE: KERRIE MARIE WEMMER F.N.P.

MEDICARE:   KERRIE MARIE WEMMER  F.N.P.
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
1363LF0000XFamily Nurse Practitioner334207NY

General Provider Information

NPI Number : 1205977121
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRIE MARIE WEMMER F.N.P.
Provider Business Mailing Address
First Line : 337 N MAIN ST
Second Line : SUITE 6A
City : NEW CITY
State : NY
Zip : 10956-4310
Country : US
Telephone Number : 845-638-4574
Fax Number : 845-638-9436
Provider Business Practice Location Address
First Line : 337 N MAIN ST
Second Line : SUITE 6A
City : NEW CITY
State : NY
Zip : 10956-4310
Country : US
Telephone Number : 845-638-4574
Fax Number : 845-638-9436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 07/08/2007

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Directions to “ KERRIE MARIE WEMMER F.N.P.” Practice Location

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