Active NPIIndividual providerSole proprietor

Ms. Patrice Kenner, RN

Registered Nurse in Fairfax, Virginia

NPI Number1417536327
Practice location
12547 Cerromar Pl, Fairfax, VA 22030-6653
Fax
—
Last updated
April 7, 2021

Patrice Kenner is a Registered Nurse based in Fairfax, VA. Patrice Kenner practices in Fairfax, VA and has the professional credentials of RN. The NPI Number for Patrice Kenner is 1417536327 and holds a License No. 813779 (NY). The current practice location address for Patrice Kenner is 12547 Cerromar Pl, Fairfax, VA 22030-6653 and can be reached out via phone at 757-822-3949.

Provider Profile Details

NPI Number
1417536327
Provider Name
Patrice Kenner
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
12547 Cerromar Pl, Fairfax, VA 22030-6653
Phone Number
757-822-3949
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 7, 2021
Last Update Date
April 7, 2021
Certification Date
April 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
12547 Cerromar Pl
Fairfax, VA 22030-6653
Zip
22030-6653
Phone Number
757-822-3949
Fairfax, VA 22030Get directions →

Provider Business Mailing Address Details

Address
38 Fabyan Pl Apt 3
Newark, NJ 07108-1086
City
Newark
State
NJ
Zip
07108-1086
Phone Number
757-822-3949

License Information

License Number
813779
License State
NY
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Patrice Kenner, RN?

The NPI number of Ms. Patrice Kenner, RN is 1417536327. It was assigned on April 7, 2021 and is currently active in the NPPES registry.

What is the specialty of Ms. Patrice Kenner, RN?

Ms. Patrice Kenner, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 813779.

Where does Ms. Patrice Kenner, RN practice?

The practice location is 12547 Cerromar Pl, Fairfax, VA 22030-6653. The office can be reached at 757-822-3949 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417536327 directly on the NPPES registry website.

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