Individual
KERRI RAE CAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG ACNP-BC
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 576-3525
(209) 576-3544
Mailing address
1700 MCHENRY AVE, SUITE 65B #259, MODESTO, CA 95350
(209) 576-3525
(209) 576-3544
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP95004803
CA
Other
Enumeration date
09/21/2016
Last updated
01/13/2021
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