KELSEY LAUREN ENNIS

SANTA MONICA, CA
NPI1033724372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: VA  0024180210)
Additional Taxonomies163W00000X Registered Nurse
(Licence: OK  R0133249)
367A00000X Advanced Practice Midwife
Enumeration Date2020-09-14
Last Update Date2024-03-15
Business Address
KELSEY LAUREN ENNIS CNM, WHNP-BC
1417 2ND ST STE D
SANTA MONICA, CA 90401-2399
Phone number: 646-650-5337
Mailing Address
KELSEY LAUREN ENNIS CNM, WHNP-BC
1417 2ND ST STE D
SANTA MONICA, CA 90401-2399
Phone number: 918-857-8740