Individual provider · Type 1 NPI

Kelly Marie Wong, NP

Nurse Practitioner · Plantation, FL

NPI number 1174803605 Active

Practice location

861 SW 78th Ave, Ste 200B
Plantation, FL 33324-3273

Mailing address

6553 E Baywood Ave Ste 201
Mesa, AZ 85206-1754

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP4100 (AZ)

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 1174803605

Kelly Marie Wong, NP's National Provider Identifier is 1174803605, issued on Aug 29, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Plantation, FL. The record was last updated on Jun 20, 2023.