Kelly Michele Cerutti, ANP
Nurse Practitioner, Family in Wahiawa, HI. Individual provider (NPI-1).
NPI number1194192476
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1194192476
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kelly Michele Cerutti
- Credential
- ANP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2015
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2300 | HI | Yes |
| 363LF0000X | Nurse Practitioner, Family | 104121 | AK | |
| 363LF0000X | Nurse Practitioner, Family | 22569 | AK |
Other names
- Kelly Michele Norwood (Former Name)
Practice location
925 California AvenueCvs Minuteclinic #09300
Wahiawa, HI 96786
Phone 808-621-7772
Mailing address
Cvs Minuteclinic #09300925 California Avenue
Wahiawa, GA 96786
Phone 808-621-7772
Other practice locations
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