Stacey Elizabeth Kelly
Nurse Practitioner, Acute Care in Philadelphia, PA. Individual provider (NPI-1).
NPI number1669936142
StatusActive
Last updated in NPPESJan 29, 2019
Details
- NPI
- 1669936142
- Entity type
- Individual (NPI-1)
- Name
- Stacey Elizabeth Kelly
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2019
- Last updated
- Jan 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | SP019853 | PA | Yes |
Practice location
3400 Spruce St4 Silverstein
Philadelphia, PA 19104-4238
Phone 215-662-7866
Mailing address
3400 Spruce St4 Silverstein
Philadelphia, PA 19104-4238
Phone 215-662-7866
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 574 Acute Care Nurse Practitioner providers in Philadelphia · All 53,595 providers in Philadelphia
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