Individual provider · Type 1 NPI

Kelly Elizabeth Grant Bertling, DNP, AGPCNP

Student in an Organized Health Care Education/Training Program · Fairfax, VA

NPI number 1194673103 Active

Practice location

8081 Innovation Park Dr
Fairfax, VA 22031-4867

Call (571) 472-1390 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194673103

Kelly Elizabeth Grant Bertling, DNP, AGPCNP's National Provider Identifier is 1194673103, issued on Mar 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairfax, VA. The record was last updated on Mar 17, 2026.