Individual provider · Type 1 NPI
Tia Ann-Patrice Kellman, AGACNP-BC
Acute Care Nurse Practitioner · New York, NY
NPI number
1972230779
Active
Practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
803 Rogers Ave Apt 3R
Brooklyn, NY 11226-3675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | F432340 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1972230779
Tia Ann-Patrice Kellman, AGACNP-BC's National Provider Identifier is 1972230779, issued on Aug 2, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New York, NY. The record was last updated on Oct 19, 2022.