Individual
MS. HEATHER ANN ROBRECHT KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7115 GREENBACK LN, FL 2, CITRUS HEIGHTS, CA 95621-6133
(916) 733-3460
(916) 560-0266
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
21780
CA
363LA2200X
Adult Health Nurse Practitioner
21780
CA
Other
Enumeration date
12/18/2008
Last updated
05/24/2023
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