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Lisa Marie Kelly, APRN

Nurse Practitioner in Monroe, MI. Individual provider (NPI-1).

NPI number1164075453
StatusActive
Last updated in NPPESJul 16, 2019

Details

NPI
1164075453
Entity type
Individual (NPI-1)
Name
Lisa Marie Kelly
Credential
APRN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 16, 2019
Last updated
Jul 16, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner9402875FLYes
363L00000X Nurse Practitioner4704176148MI

Practice location

10 E Front St Apt B
Monroe, MI 48161-2269

Phone 734-497-9041

Mailing address

10 E Front St Apt B
Monroe, MI 48161-2269

Phone 734-497-9041

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Other Nurse Practitioner providers in Monroe, MI

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