Amaris Antonia Kelley, RN
Student in an Organized Health Care Education/Training Program in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1104733294
StatusActive
Last updated in NPPESAug 25, 2026
Details
- NPI
- 1104733294
- Entity type
- Individual (NPI-1)
- Name
- Amaris Antonia Kelley
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2026
- Certification date
- Aug 25, 2026
- Last updated
- Aug 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 163W00000X | Registered Nurse | 0001258275 | VA |
Practice location
1881 University DrVirginia Beach, VA 23453-8083
Phone 757-683-5253
Mailing address
7425 Spring Summit RdSpringfield, VA 22150-4607
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