Provider Demographics
NPI:1437769635
Name:GERDING, KERRI (CNP)
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:
Last Name:GERDING
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:
Other - Last Name:HOVEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1001 BELLEFONTAINE AVE
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-2800
Mailing Address - Country:US
Mailing Address - Phone:419-998-4575
Mailing Address - Fax:419-998-4586
Practice Address - Street 1:322 E MAIN ST
Practice Address - Street 2:
Practice Address - City:RUSSELLS POINT
Practice Address - State:OH
Practice Address - Zip Code:43348-9601
Practice Address - Country:US
Practice Address - Phone:937-842-2318
Practice Address - Fax:937-842-2414
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0026745363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily