Roetman, Kelly A

Roetman, Kelly A is an individual health care provider with primary practice located at 973 Mica Dr Ste 201 , Carson City NV 89705. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Roetman, Kelly A can be contacted via phone (775) 783-6190.

Contact Information

Primary practice address
973 Mica Dr Ste 201 Carson City NV 89705
Phone: (775) 783-6190
Fax: (775) 783-6191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 513594 California
Nursing Service Providers / Registered Nurse 163W00000X 26083 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN000605 Nevada

Profile Details

NPI number 1821089376
LBN Legal business name Roetman, Kelly A
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated May 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821089376 NPPES
Nevada Other CC9627 BCBS
Nevada MEDICAID 1821089376 BCBS

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