KELLY LYNN PIETAN

JACKSONVILLE, FL
NPI1336388982
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  ARNP9184815)
Enumeration Date2009-02-05
Last Update Date2015-12-23
Business Address
-- KELLY LYNN PIETAN CRNA
655 W 8TH ST UFJAX - DEPT. OF ANESTHESIOLOGY
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-4195
Mailing Address
-- KELLY LYNN PIETAN CRNA
PO BOX 44008 UFJP - PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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