Individual provider · Type 1 NPI

Kelley Lavine, APRN

Critical Care Neonatal Nurse Practitioner · Worcester, MA

NPI number 1477867455 Active

Practice location

119 Belmont St
Worcester, MA 01605-2903

Fax (508) 334-6083

Mailing address

PO Box 415348
Boston, MA 02241-5348

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XRN246110 (MA)
Neonatal Nurse Practitioner 363LN0000XAPRN01247 (RI)
Pediatric Nurse Practitioner 363LP0200XCNPP37216 (RI)
Critical Care Neonatal Nurse Practitioner Primary 363LN0005XRN246110 (MA)

Critical Care Neonatal Nurse Practitioner: Definition to come...

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About NPI 1477867455

Kelley Lavine, APRN's National Provider Identifier is 1477867455, issued on Aug 2, 2010. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Worcester, MA. The record was last updated on Mar 30, 2021.