KELLY N PETZ

FREDERICKSBURG, VA
NPI1033200027
Former NameKELLY S NEVINS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0001191107)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: MD  127961)
Enumeration Date2006-09-27
Last Update Date2008-05-02
Business Address
-- KELLY N PETZ CRNA
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401-4453
Phone number: 800-394-4445
Mailing Address
-- KELLY N PETZ CRNA
23955 MILL COVE RD
CALIFORNIA, MD 20619-3576
Phone number: 301-737-1430