Kelley, Nicole Amanda

Kelley, Nicole Amanda is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kelley, Nicole Amanda can be contacted via phone (617) 355-5997.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115
Phone: (617) 355-5997
Fax: (617) 730-0341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN2273161 Massachusetts

Profile Details

NPI number 1174049084
LBN Legal business name Kelley, Nicole Amanda
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2017
Last updated Aug 1st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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