Individual provider · Type 1 NPI
Kellie Marie Reardon, FNP
Nurse Practitioner · San Marcos, TX
Practice location
1301 Wonder World Dr
San Marcos, TX 78666-7533
Mailing address
4680 County Road 419
Yoakum, TX 77995-7049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 516912 (TX) |
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 1487645404
Kellie Marie Reardon, FNP's National Provider Identifier is 1487645404, issued on Oct 31, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Marcos, TX. The record was last updated on Jan 14, 2014.