Individual provider · Type 1 NPI
Kiley Nicole Blakely, FNP-C
Family Nurse Practitioner · Garden Grove, CA
NPI number
1366123374
Active
Practice location
12051 Bayport St Apt 1-106
Garden Grove, CA 92840-4430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95026091 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1366123374
Kiley Nicole Blakely, FNP-C's National Provider Identifier is 1366123374, issued on Jul 31, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Garden Grove, CA. The record was last updated on Jul 31, 2023.