Individual provider · Type 1 NPI
Kelly Ann Godberson, NP
Nurse Practitioner · Medford, NY
Practice location
3115 Horseblock Rd
Medford, NY 11763-2526
Mailing address
32 Marlin Rd
Centereach, NY 11720-3012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 308240 (NY) |
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…
6 other providers at this address
- Kag Professional Nurse Practitioner In Adult Health PLLCAdult Health Nurse Practitioner Medford, NY NPI 1295391985
- Nursing Care Center at Medford IncSkilled Nursing Facility Medford, NY NPI 1679563464
- Michelle Bennett, L.P.NLicensed Practical Nurse Medford, NY NPI 1104076892
- Rahul Gladwin, MDInternal Medicine Physician Medford, NY NPI 1457271058
- Samantha Gleeson, RNRegistered Nurse Medford, NY NPI 1508756289
- Shannon Thayer, MS, CCC-SLPSpeech-Language Pathologist Medford, NY NPI 1073244224
About NPI 1053833962
Kelly Ann Godberson, NP's National Provider Identifier is 1053833962, issued on Jul 12, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Medford, NY. The record was last updated on Jul 12, 2017.