Provider Demographics
NPI:1083089841
Name:ROSSI, KERRI ANNE KULESZA (APRN)
Entity Type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:ANNE KULESZA
Last Name:ROSSI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 SUNSET PLACE
Mailing Address - Street 2:
Mailing Address - City:NORTH SALEM
Mailing Address - State:NY
Mailing Address - Zip Code:10560-1301
Mailing Address - Country:US
Mailing Address - Phone:508-847-7885
Mailing Address - Fax:914-485-1203
Practice Address - Street 1:36 SUNSET PL
Practice Address - Street 2:
Practice Address - City:NORTH SALEM
Practice Address - State:NY
Practice Address - Zip Code:10560-1301
Practice Address - Country:US
Practice Address - Phone:508-847-7885
Practice Address - Fax:914-485-1203
Is Sole Proprietor?:No
Enumeration Date:2015-12-04
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006245363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily