Mcguire, Kellie Ann

Mcguire, Kellie Ann is an individual health care provider with primary practice located at 946 Bloomfield Ave , Glen Ridge NJ 07028-1308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcguire, Kellie Ann can be contacted via phone (973) 743-1121.

Contact Information

Primary practice address
946 Bloomfield Ave Glen Ridge NJ 07028-1308
Fax:
Website:

Health care specialties

Profile Details

NPI number 1437376324
LBN Legal business name Mcguire, Kellie Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jun 10th, 2025 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1437376324 NPPES
New Jersey MEDICAID 0554651
New Jersey MEDICAID 122417400

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