Individual
MRS. KERI ANNE MESSERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-8110
Mailing address
36065 SANTE FE AVENUE, FORT HOOD, TX 76544
(254) 553-8110
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
252053-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1283692651
LPN -164WOOOOOX
TX
Enumeration date
03/03/2021
Last updated
03/04/2021
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