Individual provider · Type 1 NPI

Keri Cavallo, FNP-C

Nurse Practitioner · Charlotte, NC

NPI number 1265951727 Active

Practice location

525 N Tryon St Ste 1600
Charlotte, NC 28202-0213

Call (866) 849-0692 Map

Mailing address

423 Fair Dr
Costa Mesa, CA 92626-6232

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95006968 (CA)
Nurse Practitioner 363L00000X0024194424 (VA)
Nurse Practitioner 363L00000XAP61368235 (WA)
Nurse Practitioner 363L00000X286807 (AZ)
Nurse Practitioner 363L00000X10002048 (OR)
Nurse Practitioner 363L00000XAPRN11045458 (FL)
Nurse Practitioner 363L00000X71018355A (IN)
Nurse Practitioner 363L00000XSP035821 (PA)
Nurse Practitioner 363L00000X3-002863 (AL)
Nurse Practitioner 363L00000X0041668 (OH)
Nurse Practitioner 363L00000X5020061 (NC)
Nurse Practitioner 363L00000X850145 (NV)
Nurse Practitioner 363L00000XC-APN.0105702-C-NP (CO)
Nurse Practitioner 363L00000X1105908 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1265951727

Keri Cavallo, FNP-C's National Provider Identifier is 1265951727, issued on Sep 15, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 10, 2026.