Heather Ann Robrecht Kelly, ARNP
Nurse Practitioner, Acute Care in Citrus Heights, CA. Individual provider (NPI-1).
NPI number1124264239
StatusActive
Last updated in NPPESMay 24, 2023
Details
- NPI
- 1124264239
- Entity type
- Individual (NPI-1)
- Name
- Ms. Heather Ann Robrecht Kelly
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2008
- Certification date
- May 16, 2023
- Last updated
- May 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 21780 | CA | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 21780 | CA |
Practice location
7115 Greenback LnFl 2
Citrus Heights, CA 95621-6133
Phone 916-733-3460 · Fax 916-560-0266
Mailing address
3400 Data DrAttn: Credentialing/Payer Enrollment
Rancho Cordova, CA 95670-7956
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