Individual provider · Type 1 NPI

Keri Anne Squittieri, PA-C

Medical Physician Assistant · Charlotte, NC

NPI number 1366727497 Active

Practice location

3006 Baucom Rd
Charlotte, NC 28269-6762

Call (704) 596-1787 Map

Fax (704) 596-6230

Mailing address

17039 Kenton Dr, Ste 100
Cornelius, NC 28031-5776

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0010-03191 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1366727497

Keri Anne Squittieri, PA-C's National Provider Identifier is 1366727497, issued on Oct 20, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charlotte, NC. The record was last updated on Feb 14, 2017.