Individual
KELLY ELISABETH GARRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN2348374
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2348374
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110167038A
—
MA
Enumeration date
01/11/2019
Last updated
10/24/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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