Individual
ELIZABETH C. KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7878
(757) 668-7883
Mailing address
P.O. BOX 741593, CHILDRENS SURGICAL SPECIALTY GROUP INC, ATLANTA, GA 30374
(757) 668-7878
(757) 668-7883
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0017000209
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311610834
TRICARE
—
01
—
52444N
OPTIMA/SENTARA HEALTH
VA
05
—
7792433
—
VA
Enumeration date
07/29/2006
Last updated
04/16/2012
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