| NPI | 1326722877 |
|---|---|
| Former Name | HEATHER ANNE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: MI 4704297554) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: MI 4704297554) |
| 163WC1500X Registered Nurse Community Health (Licence: MI 4704297554) | |
| 163WH0200X Registered Nurse Home Health (Licence: MI 4704297554) | |
| 163WP0000X Registered Nurse Pain Management (Licence: MI 4704297554) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: MI 4704297554) | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |