Individual provider · Type 1 NPI
Kelly Marine, PNP
Pediatric Nurse Practitioner · Iowa City, IA
NPI number
1508281619
Active
Practice location
200 Hawkins Dr
Iowa City, IA 52242-1009
Fax (319) 356-8443
Other practice locations
- 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 · (501) 987-3080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 118529 (IA) |
| Nurse Practitioner | 363L00000X | C118529 (IA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | C118529 (IA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1508281619
Kelly Marine, PNP's National Provider Identifier is 1508281619, issued on Feb 26, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Iowa City, IA. The record was last updated on Mar 9, 2022.