Individual provider · Type 1 NPI
Kelli Gora
Nurse Practitioner · Big Bear Lake, CA
Practice location
41870 Garstin Rd.
Big Bear Lake, CA 92315
Mailing address
1141 La Loma Dr
Santa Ana, CA 92705-2902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95000429 (CA) |
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…
About NPI 1417372186
Kelli Gora's National Provider Identifier is 1417372186, issued on Mar 4, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Big Bear Lake, CA. The record was last updated on Mar 4, 2014.