| NPI | 1306364526 |
|---|---|
| Former Name | KELLY ANNE KARELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5016451) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5016451) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-128114) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-128114) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-128114) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5016451) | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2024-02-15 |