Individual provider · Type 1 NPI
Michele Ann Kelly, CPNP NPP
Nurse Practitioner · Ronkonkoma, NY
Practice location
153 Lake Shore Rd, Phoenix House Medical Dept
Ronkonkoma, NY 11779
Mailing address
PO Box 631
Miller Place, NY 11764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | F380749 (NY) |
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…
8 other providers at this address
- Altagrace Gilbert BlanchardLicensed Practical Nurse Lake Ronkonkoma, NY NPI 1568252161
- Edjeanine Boucicault, LPNLicensed Practical Nurse Lake Ronkonkoma, NY NPI 1912624115
- Justin Michael Taylor I, LICENSED MSWSocial Worker Lake Ronkonkoma, NY NPI 1992455398
- Lydie Chery, REGISTERED NURSERegistered Nurse Lake Ronkonkoma, NY NPI 1740915461
- Melissa Paz, RNRegistered Nurse Lake Ronkonkoma, NY NPI 1689446155
- Nicholas Martin Pascullo, LPNLicensed Practical Nurse Lake Ronkonkoma, NY NPI 1629590617
- Olivia AupperleeRegistered Nurse Lake Ronkonkoma, NY NPI 1851204705
- Reggie Donald Valdemar, PHMNPPsychiatric/Mental Health Nurse Practitioner Ronkonkoma, NY NPI 1285374660
Other nurse practitioner providers in Ronkonkoma
About NPI 1457416737
Michele Ann Kelly, CPNP NPP's National Provider Identifier is 1457416737, issued on Dec 27, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ronkonkoma, NY. The record was last updated on Jul 8, 2007.