Individual
MRS. KELLY MICHELE CERUTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
925 CALIFORNIA AVENUE, CVS MINUTECLINIC #09300, WAHIAWA, HI 96786
(808) 621-7772
Mailing address
CVS MINUTECLINIC #09300, 925 CALIFORNIA AVENUE, WAHIAWA, GA 96786
(808) 621-7772
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
104121
AK
363LF0000X
Family Nurse Practitioner
22569
AK
363LF0000X
Family Nurse Practitioner
Primary
2300
HI
Other
Enumeration date
08/21/2015
Last updated
03/17/2018
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