Individual provider · Type 1 NPI
Keli An Lanclos, CFNP
Family Nurse Practitioner · Port Arthur, TX
NPI number
1174522312
Active
Practice location
8480 Central Mall Drive
Port Arthur, TX 77642
Fax (866) 275-8082
Mailing address
8480 Central Mall Dr Ste B
Port Arthur, TX 77642-8001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP106950 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | 593720 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174522312
Keli An Lanclos, CFNP's National Provider Identifier is 1174522312, issued on Jul 19, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port Arthur, TX. The record was last updated on Jun 25, 2018.