NPI Profile for KERRI A PETITPAIN in MANORVILLE, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1760621304 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/04/2009 | |
| Last updated | 04/02/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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KERRI A PETITPAIN
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