Individual provider · Type 1 NPI

Kelly Maines Squires, CPNP

Pediatric Nurse Practitioner · Raleigh, NC

NPI number 1497268320 Active

Practice location

23 Sunnybrook Rd
Raleigh, NC 27610-1855

Mailing address

2920 Highwoods Blvd
Raleigh, NC 27604-0010

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse 163WP0200X246271 (NC)
Pediatric Nurse Practitioner Primary 363LP0200X5010058 (NC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1497268320

Kelly Maines Squires, CPNP's National Provider Identifier is 1497268320, issued on Nov 14, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Raleigh, NC. The record was last updated on Apr 13, 2021.