Individual provider · Type 1 NPI
Kelley Anne Nelligan, RN, MSN, CPNP
Pediatric Nurse Practitioner · Riverside, RI
NPI number
1053430702
Active
Practice location
1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4513
Other practice locations
- 60 Hodges Ave, Goss 1, Taunton, MA 02780-3034 · (508) 828-3857
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 262959 (MA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | APRN01484 (RI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1053430702
Kelley Anne Nelligan, RN, MSN, CPNP's National Provider Identifier is 1053430702, issued on Mar 27, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Riverside, RI. The record was last updated on Dec 5, 2018.