Individual provider · Type 1 NPI

Kelly Ann Nystrom

Student in an Organized Health Care Education/Training Program · Oakland, CA

NPI number 1982912846 Active

Practice location

4368 Lincoln Ave
Oakland, CA 94602-2529

Call (510) 531-3111 Map

Mailing address

30 Poncetta Dr Apt 116
Daly City, CA 94015-1130

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1982912846

Kelly Ann Nystrom's National Provider Identifier is 1982912846, issued on Sep 14, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakland, CA. The record was last updated on Sep 14, 2010.