Individual provider · Type 1 NPI
Kelly Dee Vancleve
Acute Care Nurse Practitioner · Lakeville, MN
NPI number
1881290120
Active
Practice location
18255 Icon Ct
Lakeville, MN 55044-2276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 1700477 (MN) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1881290120
Kelly Dee Vancleve's National Provider Identifier is 1881290120, issued on Dec 10, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Lakeville, MN. The record was last updated on Dec 10, 2020.