Provider Demographics
NPI:1700244357
Name:HUGELMAIER, KERRI ANNE (FNP)
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:ANNE
Last Name:HUGELMAIER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:ANNE
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN BSN BC
Mailing Address - Street 1:601 ELMWOOD AVE # 704
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:855-275-5823
Mailing Address - Fax:
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-5823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-10
Last Update Date:2023-07-03
Deactivation Date:2021-04-14
Deactivation Code:
Reactivation Date:2021-05-25
Provider Licenses
StateLicense IDTaxonomies
NY6162041163WP0218X
NY347583363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0218XNursing Service ProvidersRegistered NursePediatric Oncology