Provider Demographics
NPI:1538815238
Name:ROSSITER NETO, KERRY CATHERINE (MSN, CRNA)
Entity type:Individual
Prefix:MRS
First Name:KERRY
Middle Name:CATHERINE
Last Name:ROSSITER NETO
Suffix:
Gender:F
Credentials:MSN, CRNA
Other - Prefix:MS
Other - First Name:KERRY
Other - Middle Name:CATHERINE
Other - Last Name:ROSSITER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, CRNA
Mailing Address - Street 1:2372 BOYD RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6405
Mailing Address - Country:US
Mailing Address - Phone:215-971-6658
Mailing Address - Fax:
Practice Address - Street 1:1201 LANGHORNE NEWTOWN RD STE 1
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1295
Practice Address - Country:US
Practice Address - Phone:215-710-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN666932367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered