Provider Demographics
NPI:1104098615
Name:BIGLER, KERRI LYNN (RN)
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:LYNN
Last Name:BIGLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:LYNN
Other - Last Name:HARRIS-BIGLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:759 S TRAFFIC WAY
Mailing Address - Street 2:
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420-3432
Mailing Address - Country:US
Mailing Address - Phone:559-917-5953
Mailing Address - Fax:
Practice Address - Street 1:759 S TRAFFIC WAY
Practice Address - Street 2:
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-3432
Practice Address - Country:US
Practice Address - Phone:559-917-5953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2014-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA569528163WC0400X, 163WP0200X, 163W00000X, 163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163W00000XNursing Service ProvidersRegistered Nurse
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care