Provider Demographics
NPI:1396396644
Name:UNO, KERIANN (CNM, APRN)
Entity Type:Individual
Prefix:
First Name:KERIANN
Middle Name:
Last Name:UNO
Suffix:
Gender:F
Credentials:CNM, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1772 SECOND AVE
Mailing Address - Street 2:
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99901-6002
Mailing Address - Country:US
Mailing Address - Phone:661-789-7046
Mailing Address - Fax:
Practice Address - Street 1:605 GATEWAY CT
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-5672
Practice Address - Country:US
Practice Address - Phone:907-225-4350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-26
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1664362163W00000X
CT153024163W00000X
AK183585367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse