Provider Demographics
NPI:1750762951
Name:DAUNIS, KERRI (CRNA)
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:
Last Name:DAUNIS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 CAPTAINS WAY UNIT 303
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-5107
Mailing Address - Country:US
Mailing Address - Phone:203-725-6037
Mailing Address - Fax:
Practice Address - Street 1:35 MEDICAL CENTER PKWY STE 201
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-8160
Practice Address - Country:US
Practice Address - Phone:207-620-1136
Practice Address - Fax:207-430-4020
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-12
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006196367500000X
CT081923367500000X
MERNA213003367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered