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Individual
MRS. KELLY ANNE DAMIANO
Active
Individual
MRS. KELLY ANNE DAMIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, APN, NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00426100
NJ
363LA2200X
Adult Health Nurse Practitioner
26NR13853200
NJ
Other
Enumeration date
05/28/2013
Last updated
07/22/2023
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