# MAROL KERGE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366758724
- **Gender:** Man
- **Credential:** PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 833406-01 | NY | — |
| 163W00000X | Registered Nurse | RN48572 | RI | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN01516 | RI | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F403911-01 | NY | Yes |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | APRN01516 | RI | — |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | CAPRN01516 | RI | — |

## Other

- **Enumeration date:** 08/24/2010
- **Last updated:** 03/09/2022