Individual provider · Type 1 NPI

Kelly Simon Mengana

Pediatric Nurse Practitioner · Miami, FL

NPI number 1497570022 Active

Practice location

3100 SW 62nd Ave
Miami, FL 33155-3009

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X11036519 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1497570022

Kelly Simon Mengana's National Provider Identifier is 1497570022, issued on Nov 19, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Miami, FL. The record was last updated on Jan 29, 2025.