Individual provider · Type 1 NPI
Kelly Renee Paeth, APRN
Family Nurse Practitioner · Altamonte Springs, FL
NPI number
1043770803
Active
Practice location
106 Boston Ave Ste 205
Altamonte Springs, FL 32701-4712
Mailing address
1511 Legacy Club Dr
Maitland, FL 32751-7528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11001821 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1043770803
Kelly Renee Paeth, APRN's National Provider Identifier is 1043770803, issued on Mar 20, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Altamonte Springs, FL. The record was last updated on Oct 1, 2024.