Individual provider · Type 1 NPI

Annette L. Kelleher, NP

Gerontology Nurse Practitioner · Providence, RI

NPI number 1316178676 Active

Practice location

50 Maude St
Providence, RI 02908-4325

Call (401) 456-6616 Map

Fax (401) 456-6780

Mailing address

9201 E Mountain View Rd Ste 220
Scottsdale, AZ 85258-5172

Specialties and licenses

Taxonomy	Code	License
Gerontology Nurse Practitioner Primary	363LG0600X	NPP37519 (RI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1316178676

Annette L. Kelleher, NP's National Provider Identifier is 1316178676, issued on Aug 5, 2009. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Providence, RI. The record was last updated on Jul 17, 2019.