Individual
MS. KELLEY ANNE NELLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1325
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
262959
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN01484
RI
Other
Enumeration date
03/27/2007
Last updated
12/05/2018
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