Provider Demographics
NPI:1992273353
Name:CALDWELL, KERRI M (CRNP)
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:M
Last Name:CALDWELL
Suffix:
Gender:
Credentials:CRNP
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:M
Other - Last Name:LAUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4800 FRIENDSHIP AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1722
Mailing Address - Country:US
Mailing Address - Phone:412-359-3030
Mailing Address - Fax:412-359-3060
Practice Address - Street 1:4800 FRIENDSHIP AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1722
Practice Address - Country:US
Practice Address - Phone:724-554-6454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10039218363LF0000X
SC29892363LF0000X
OH0038119363LF0000X
HIAPRN-5013363LF0000X
COAPN.1000469-NP363LF0000X
FLAPRN11036345363LF0000X
TX1179540363LF0000X
PASP019552363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily