Individual provider · Type 1 NPI

Casey Kelly, CNP

Nurse Practitioner · Eagan, MN

NPI number 1174018246 Active

Practice location

2620 Eagan Woods Dr
Eagan, MN 55121

Mailing address

1272 Randolph Ave
St. Paul, MN 55105-2954

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5920 (MN)

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…

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About NPI 1174018246

Casey Kelly, CNP's National Provider Identifier is 1174018246, issued on Jun 29, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Eagan, MN. The record was last updated on Aug 29, 2020.