Individual
KELLI JEAN GIOVANIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
351 HARTNELL AVE, REDDING, CA 96002-1845
(530) 226-7555
Mailing address
351 HARTNELL AVE, REDDING, CA 96002-1845
(530) 247-7910
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
510339
CA
363L00000X
Nurse Practitioner
510339
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
9133
CA
Other
Enumeration date
12/05/2005
Last updated
06/26/2020
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