Individual provider · Type 1 NPI

Stacy Michelle Rodriguez-Kelly

Primary Care Nurse Practitioner · Monterey, CA

NPI number 1861969073 Active

Practice location

23625 Holman Hwy
Monterey, CA 93940-5902

Mailing address

3215 Deforest Road
Marina, CA 93933

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X95008637 (CA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1861969073

Stacy Michelle Rodriguez-Kelly's National Provider Identifier is 1861969073, issued on Oct 25, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Monterey, CA. The record was last updated on Oct 25, 2018.