Individual provider · Type 1 NPI
Kelly E. Pezzella, NP
Family Nurse Practitioner · Minneapolis, MN
NPI number
1679879241
Active
Practice location
2810 Nicollet Ave
Minneapolis, MN 55408-4708
Mailing address
701 Park Ave
Minneapolis, MN 55415-1623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R-174313-3 (MN) |
| Family Nurse Practitioner | 363LF0000X | R-174313-3 (MN) |
| Family Nurse Practitioner Primary | 363LF0000X | 2338 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1679879241
Kelly E. Pezzella, NP's National Provider Identifier is 1679879241, issued on Jan 31, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 28, 2024.