Individual provider · Type 1 NPI

Kelly Vial, FNP

Nurse Practitioner · South Lake Tahoe, CA

NPI number 1447486295 Active

Practice location

1090 3rd St
South Lake Tahoe, CA 96150-3485

Call (530) 543-5660 Map

Fax (530) 542-1619

Mailing address

1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	18964 (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…

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About NPI 1447486295

Kelly Vial, FNP's National Provider Identifier is 1447486295, issued on Jun 8, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Jul 16, 2014.