Individual provider · Type 1 NPI
Kellie Boeggeman Dearden, ARNP
Nurse Practitioner · New York, NY
Practice location
885 3rd Ave Fl 28
New York, NY 10022-4834
Mailing address
16706 NE 98th St
Vancouver, WA 98682-1275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 248427 (NC) |
| Family Nurse Practitioner | 363LF0000X | 9165739 (FL) |
| Nurse Practitioner Primary | 363L00000X | APN355 (SC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1669662086
Kellie Boeggeman Dearden, ARNP's National Provider Identifier is 1669662086, issued on Aug 1, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New York, NY. The record was last updated on Apr 23, 2025.