Individual provider · Type 1 NPI
Nan Marie Kelly, N.P.
Family Nurse Practitioner · Aguanga, CA
NPI number
1659464071
Active
Practice location
44225 Barbara Trl
Aguanga, CA 92536-9654
Fax (951) 763-5634
Mailing address
P.o. Box 391700, Anza Community Clinic
Anza, CA 92539-1700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 216481 (CA) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Aguanga
About NPI 1659464071
Nan Marie Kelly, N.P.'s National Provider Identifier is 1659464071, issued on Sep 30, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Aguanga, CA. The record was last updated on Nov 3, 2011.