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
Phone: (973) 743-1121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN11032696 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F332076 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 26NN08534500 | New Jersey |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437376324 | NPPES |
| New Jersey | MEDICAID | 0554651 | |
| New Jersey | MEDICAID | 122417400 |
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