Individual
KERRI I NEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS FNP
Contact information
Practice address
1 BRICKYARD LN STE EE, YORK, ME 03909-1681
(207) 305-0965
(207) 770-5800
Mailing address
1 BRICKYARD LN STE EE, YORK, ME 03909-1681
(207) 305-0965
(207) 770-5800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041603
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010467585
STANDARD TAX ID
—
01
—
041369
ANTHEM BCBS
—
01
—
279710099
PRIMECARE MEDICAID
—
05
—
279710099
—
ME
01
—
40Y003577ME01
ANTHEM BCBS NEW HAMPSHIRE
NH
01
—
4178556
CIGNA HEALTHCARE
—
01
—
500022131
RAILROAD MEDICARE
—
01
—
P43830
HARVARD PILGRIM
—
Enumeration date
04/25/2006
Last updated
11/04/2021
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