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Individual
KELLY ANN COLLURA
Active
Individual
KELLY ANN COLLURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9404112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106050000
—
FL
Enumeration date
11/12/2018
Last updated
02/06/2025
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