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Patrice Kenner, RN

Registered Nurse in Fairfax, VA. Individual provider (NPI-1).

NPI number1417536327
StatusActive
Last updated in NPPESApr 7, 2021

Details

NPI
1417536327
Entity type
Individual (NPI-1)
Name
Ms. Patrice Kenner
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 7, 2021
Certification date
Apr 7, 2021
Last updated
Apr 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse813779NYYes

Practice location

12547 Cerromar Pl
Fairfax, VA 22030-6653

Phone 757-822-3949

Mailing address

38 Fabyan Pl Apt 3
Newark, NJ 07108-1086

Phone 757-822-3949

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