Individual
KELSEY SCHULMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3998 FAIR RIDGE DR, SUITE 320, FAIRFAX, VA 22033-2907
(703) 295-9360
(703) 295-9369
Mailing address
68 SOUTH SERVICE ROAD, SUITE 350, MELVILLE, NY 11747
(516) 945-3107
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024171489
VA
367500000X
Certified Registered Nurse Anesthetist
R187906
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
VA
Enumeration date
12/16/2013
Last updated
03/20/2017
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