Sturdevant, Keri Louise

Sturdevant, Keri Louise is an individual health care provider with primary practice located at 1290 Silas Deane Hwy , Wethersfield CT 06109-4337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sturdevant, Keri Louise can be contacted via phone (869) 972-9033.

Contact Information

Primary practice address
1290 Silas Deane Hwy Wethersfield CT 06109-4337
Phone: (869) 972-9033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601006420 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA09689 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006076 Connecticut

Profile Details

NPI number 1295094035
LBN Legal business name Sturdevant, Keri Louise
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2012
Last updated Jul 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295094035 NPPES
Michigan Other 1295094035 NATIONAL PROVIDER IDENTIFICATION NUMBER

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