Individual provider · Type 1 NPI
Kelly A. Spray, CNP
Family Nurse Practitioner · Pequot Lakes, MN
NPI number
1487095915
Active
Practice location
4317 W Woodman St
Pequot Lakes, MN 56472-3473
Mailing address
523 N 3rd St
Brainerd, MN 56401-3054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R194132-0 (MN) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1487095915
Kelly A. Spray, CNP's National Provider Identifier is 1487095915, issued on Jul 12, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pequot Lakes, MN. The record was last updated on Jan 15, 2016.