Individual
KELLEY VANDEN HEUVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-8181
(727) 767-8030
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-8181
(727) 767-8030
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
722312
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
ARNP9323922
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y9717
BCBS
TX
Enumeration date
06/10/2008
Last updated
02/16/2016
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