Individual
OLIVIA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
479 WASHINGTON ST, QUINCY, MA 02169-5895
(857) 529-5220
(857) 529-5422
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 314-8872
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN2356484
MA
363LF0000X
Family Nurse Practitioner
Primary
CNPNE10000856
MA
Other
Enumeration date
07/20/2023
Last updated
07/17/2024
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