Individual
MRS. ANITA ROSE KERRIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3631 N MORRISON RD, MUNCIE, IN 47304-5547
(765) 281-3443
Mailing address
3631 N MORRISON RD, MUNCIE, IN 47304-5547
(765) 281-3443
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001397A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71001397A
NURSE PRACTITIONER
IN
01
—
71001397B
APN CSR
IN
Enumeration date
04/03/2007
Last updated
03/23/2021
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