Individual provider · Type 1 NPI
Nicole Amanda Kelley, CPNP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1174049084
Active
Practice location
300 Longwood Ave
Boston, MA 02115
Fax (617) 730-0341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN2273161 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1174049084
Nicole Amanda Kelley, CPNP's National Provider Identifier is 1174049084, issued on Aug 22, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Aug 1, 2018.