Individual provider · Type 1 NPI
Kelliann Duncan, NP
Family Nurse Practitioner · Bethpage, NY
NPI number
1154630663
Active
Practice location
185 Central Ave., Department Of Cardiology
Bethpage, NY 11714-1171
Mailing address
3 California Pl S
Island Park, NY 11558-2216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 629460-1 (NY) |
| General Practice Registered Nurse | 163WG0000X | 629460-1 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 350071 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1154630663
Kelliann Duncan, NP's National Provider Identifier is 1154630663, issued on Sep 30, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bethpage, NY. The record was last updated on Apr 17, 2023.