Individual provider · Type 1 NPI

Kelly Andersen, FNP-BC

Nurse Practitioner · Charlotte, NC

NPI number 1841990652 Active

Practice location

1225 Harding Pl
Charlotte, NC 28204-2826

Mailing address

1225 Harding Pl # 3100
Charlotte, NC 28204-2826

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X0024186073 (VA)
Nurse Practitioner Primary 363L00000X0024186073 (VA)

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 1841990652

Kelly Andersen, FNP-BC's National Provider Identifier is 1841990652, issued on Mar 9, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Aug 19, 2026.