Individual provider · Type 1 NPI
Kelly Catherine Defeo, CRNA, APRN, PhD
Family Nurse Practitioner · Glen, NH
NPI number
1699757906
Active
Practice location
15 US Rte 302
Glen, NH 03838-6300
Fax (603) 730-5477
Mailing address
PO Box 125
Center Conway, NH 03813-0125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 047170-23-11 (NH) |
| Family Nurse Practitioner Primary | 363LF0000X | 04717023 (NH) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Glen
About NPI 1699757906
Kelly Catherine Defeo, CRNA, APRN, PhD's National Provider Identifier is 1699757906, issued on Nov 14, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Glen, NH. The record was last updated on Apr 8, 2025.