Doctor Name: | KERRI DUPRE |
NPI Number: | 1144640012 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ATC, AEMT |
License Number: | 26731 |
Business Practice Address: | 216 Hughes Ave Cape May, NJ - 082043130 |
Business Phone Number: | 9785784086 |
Business Fax Number: | |
Mailing Address: | 216 Hughes Ave, CAPE MAY |
State: | NJ |
Postal Code: | 082043130 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/18/2014 |
NPI Last Update Date: | 08/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146M00000X |
License Number: | 26731 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Intermediate |
Taxonomy Specialization: | |
Taxonomy Definition: | An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |