Provider Demographics
NPI:1770145815
Name:SITES, KERRY JEAN (RN)
Entity type:Individual
Prefix:
First Name:KERRY
Middle Name:JEAN
Last Name:SITES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KERRY
Other - Middle Name:JEAN
Other - Last Name:ANDROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5231 PENN AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1768
Mailing Address - Country:US
Mailing Address - Phone:412-204-9100
Mailing Address - Fax:412-204-9137
Practice Address - Street 1:5231 PENN AVE FL 1
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1768
Practice Address - Country:US
Practice Address - Phone:412-204-9100
Practice Address - Fax:412-204-9137
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN259195L163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health