| NPI | 1508301805 |
|---|---|
| Former Name | KELSEY VERA RUNNALLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11036664) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 433483) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 291293) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 631978) | |
| 163W00000X Registered Nurse (Licence: NY 631978) | |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2025-11-06 |