Provider Demographics
NPI:1346763927
Name:ANDERSON, KERRY ANGELINE (APRN, FNP)
Entity type:Individual
Prefix:MRS
First Name:KERRY
Middle Name:ANGELINE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 STAGE ROAD, P.O. BOX 459
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03841
Mailing Address - Country:US
Mailing Address - Phone:603-329-5222
Mailing Address - Fax:888-927-0461
Practice Address - Street 1:207 STAGE ROAD, P.O. BOX 459
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NH
Practice Address - Zip Code:03841
Practice Address - Country:US
Practice Address - Phone:603-329-5222
Practice Address - Fax:888-927-0461
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH069367-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH069367-21OtherSTATE OF NH RN LICENSE
NH069367-23OtherSTATE APRN LICENSE