Kelly Footen, FNP-C
Nurse Practitioner, Pediatrics in Hagerstown, MD. Individual provider (NPI-1).
NPI number1194580233
StatusActive
Last updated in NPPESMar 17, 2024
Details
- NPI
- 1194580233
- Entity type
- Individual (NPI-1)
- Name
- Kelly Footen
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2024
- Certification date
- Mar 17, 2024
- Last updated
- Mar 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | R169068 | MD | Yes |
Practice location
1141 Opal CtHagerstown, MD 21740-5976
Phone 301-791-6666
Mailing address
14555 Fairview Hill LnClear Spring, MD 21722-1249
Phone 301-748-7341
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All 13 Pediatric Nurse Practitioner providers in Hagerstown · All 3,431 providers in Hagerstown
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