| NPI | 1780760041 |
|---|---|
| Former Name | ANNE MARIE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MD R159270) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R159270) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 464084) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN05722500) | |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: TX 464084) | |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2007-07-08 |