Provider Demographics
NPI:1154490712
Name:ARREDONDO, KERRI DANYELLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:DANYELLE
Last Name:ARREDONDO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:DANYELLE
Other - Last Name:HICKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:129 SANTEE AVE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-4343
Mailing Address - Country:US
Mailing Address - Phone:419-423-3046
Mailing Address - Fax:419-423-3046
Practice Address - Street 1:129 SANTEE AVE
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-4343
Practice Address - Country:US
Practice Address - Phone:419-423-3046
Practice Address - Fax:419-423-3046
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN301704163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2576574Medicaid