Individual provider · Type 1 NPI
Patricia A. Kelly, NMD, FNP-BC, GNPC-BC
Family Nurse Practitioner · Long Beach, CA
NPI number
1164435582
Active
Practice location
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Fax (562) 528-5595
Mailing address
3000 Corporate Exchange Dr
Columbus, OH 43231-7689
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | NP04543 (OH) |
| Family Nurse Practitioner | 363LF0000X | 71000324A (IN) |
| Family Nurse Practitioner Primary | 363LF0000X | APRN.CNP.04543 (OH) |
Family Nurse Practitioner: Definition to come...
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About NPI 1164435582
Patricia A. Kelly, NMD, FNP-BC, GNPC-BC's National Provider Identifier is 1164435582, issued on Aug 15, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Long Beach, CA. The record was last updated on Jan 10, 2018.