Individual
KELLI KEMENAH MAURIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC, APRN
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
10115460-4405
UT
363LW0102X
Women's Health Nurse Practitioner
NP-07962
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356173
ANTHEM B/C B/S
OH
05
—
0827627
—
OH
01
—
10115460-4405
APRN STATE LICENSURE
UT
01
—
10115460-8900
APRN CONTROLLED SUBSTANCE ID
UT
01
—
104279585
NATIONAL CERTIFICATION CORPORATION - WHNP-BC (BOARD CERTIFIED)
—
01
—
1073270666
NPI BALANCE THE BRAIN PROFESSIONAL CORPORATION
UT
01
—
193200000X
MULTI-SPECIALTY GROUP TAXONOMY BALANCE THE BRAIN PROFESSIONAL CORPORATION
UT
01
—
356173
BUCKEYE
OH
01
—
363LW0102X
NURSE PRACTITIONER - WOMENS HEALTH TAXONOMY
UT
01
—
740142
BUCKEYE MEDICAID
OH
01
—
APP0002758
COPIC RRG VIA BAXTER & ASSOCIATES LLC CERTIFICATE OF LIABILITY INSURANCE
UT
01
—
APRN.CNP.07962
WHNP-BC WITH CERTIFICATE TO PRESCRIBE
OH
01
—
I20180403001591
PECOS ENROLLMENT ID
—
01
—
MAU1-0427-9585
NATIONAL CERTIFICATION CORPORATION -USA WOMENS HEALTH NURSE PRACTITIONER WHNP-BC
OH
01
—
NP-07962
OHIO BOARD OF NURSING - CERTIFICATE OF AUTHORITY FOR WHNP-BC LICENSURE - OH
OH
01
—
P01571485
MEDICARE RR
OH
01
—
R04778
SUMMACARE
OH
01
—
RN266333
NATIONAL COUNCIL OF NURSING STATE BOARDS & LICENSURE REGISTERED NURSES
OH
Enumeration date
04/10/2007
Last updated
06/21/2023
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.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up