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Individual
KELLY BHUVA
Active
Individual
KELLY BHUVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHMNP- C, CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
26NJ01323500
NJ
363LP0200X
Pediatric Nurse Practitioner
382678
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01323500
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
382678
NY
Other
Enumeration date
10/13/2016
Last updated
01/29/2026
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