Individual provider · Type 1 NPI
Stacey Elizabeth Kelly
Acute Care Nurse Practitioner · Philadelphia, PA
NPI number
1669936142
Active
Practice location
3400 Spruce St, 4 Silverstein
Philadelphia, PA 19104-4238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP019853 (PA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1669936142
Stacey Elizabeth Kelly's National Provider Identifier is 1669936142, issued on Jan 29, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 29, 2019.