Individual
KELLY MARIE STELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
308 22ND ST, NICEVILLE, FL 32578-3245
(850) 517-5232
Mailing address
308 22ND ST, NICEVILLE, FL 32578-3245
(850) 517-5232
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
373396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S345513846770
—
FL
Enumeration date
10/02/2019
Last updated
10/02/2019
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