Individual
KERI DESTITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1938 SW LIBRA LN, PORT SAINT LUCIE, FL 34984-4418
(561) 351-0892
Mailing address
1938 SW LIBRA LN, PORT SAINT LUCIE, FL 34984-4418
(561) 351-0892
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2756162
FL
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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