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NPI Code Detail

MEDICARE: DR. KERI ANN MULHERN DNP, CRNA

MEDICARE: DR. KERI ANN MULHERN DNP, CRNA
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
1390200000XStudent in an Organized Health Care Education/Training Program
2367500000XCertified Registered Nurse Anesthetist11033845FL

General Provider Information

NPI Number : 1629760376
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KERI ANN MULHERN DNP, CRNA
Provider Business Mailing Address
First Line : 1037 PORT ORANGE WAY
Second Line :
City : NAPLES
State : FL
Zip : 34120-2916
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9981 S HEALTHPARK DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-3620
Country : US
Telephone Number : 239-343-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2023
Last Update Date : 07/04/2024

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