Provider Demographics
NPI:1831672542
Name:KERR, ANDREA MORGANNA (ARNP)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:MORGANNA
Last Name:KERR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3345 COVERED BRIDGE DR W
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-9319
Mailing Address - Country:US
Mailing Address - Phone:727-504-9024
Mailing Address - Fax:
Practice Address - Street 1:3345 COVERED BRIDGE DR W
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-9319
Practice Address - Country:US
Practice Address - Phone:727-504-9024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-09
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9326637363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner