Provider Demographics
NPI:1578955597
Name:KERR, NIKKI (NP-C)
Entity Type:Individual
Prefix:
First Name:NIKKI
Middle Name:
Last Name:KERR
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:
Other - Last Name:ERLENBUSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:210 S WINCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301-4757
Mailing Address - Country:US
Mailing Address - Phone:406-234-8793
Mailing Address - Fax:406-234-8796
Practice Address - Street 1:620 S HAYNES AVE
Practice Address - Street 2:
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301-4769
Practice Address - Country:US
Practice Address - Phone:406-233-7000
Practice Address - Fax:406-234-8796
Is Sole Proprietor?:No
Enumeration Date:2015-02-27
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT32367363LF0000X
MTNUR-APRN-LIC-100655363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily