Individual provider · Type 1 NPI

Kellie Nichole Quigley, CPNP-PC

Pediatric Nurse Practitioner · Waterford, MI

NPI number 1740054501 Active

Practice location

2561 Elizabeth Lake Rd
Waterford, MI 48328

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704345850 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1740054501

Kellie Nichole Quigley, CPNP-PC's National Provider Identifier is 1740054501, issued on Nov 13, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Waterford, MI. The record was last updated on Mar 17, 2025.