Provider Demographics
NPI:1124765730
Name:KERR, MAUREEN (ARNP)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:KERR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16449 DEL PALACIO CT
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6671
Mailing Address - Country:US
Mailing Address - Phone:561-400-5740
Mailing Address - Fax:
Practice Address - Street 1:16449 DEL PALACIO CT
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6671
Practice Address - Country:US
Practice Address - Phone:561-400-5740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11014102363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner