Individual provider · Type 1 NPI
Kelli Nicole Fogarty, RN
Home Health Registered Nurse · Leonard, MI
NPI number
1003121120
Active
Practice location
2087 Hidden Ln
Leonard, MI 48367-3225
Mailing address
765 Kestrel Ridge Dr
South Lyon, MI 48178-2027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 4704254681 (MI) |
Home Health Registered Nurse: Definition to come...
About NPI 1003121120
Kelli Nicole Fogarty, RN's National Provider Identifier is 1003121120, issued on Aug 12, 2010. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Leonard, MI. The record was last updated on Aug 31, 2010.