Individual provider · Type 1 NPI
Kelley Ibarra, FNP
Adult Health Nurse Practitioner · Modesto, CA
NPI number
1629695440
Active
Practice location
1613 Celeste Dr
Modesto, CA 95355-5039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 95014395 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1629695440
Kelley Ibarra, FNP's National Provider Identifier is 1629695440, issued on Jun 26, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Modesto, CA. The record was last updated on Jun 26, 2020.