Individual
NICOLE AMANDA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115
(617) 355-5997
(617) 730-0341
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-5997
(617) 730-0341
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2273161
MA
Other
Enumeration date
08/22/2017
Last updated
08/01/2018
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