Individual
KELLI WRAZIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
13710 49TH ST N, CLEARWATER, FL 33762-3755
(813) 460-6446
Mailing address
13710 49TH ST N, CLEARWATER, FL 33762-3755
(813) 460-6446
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11029746
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/17/2023
Last updated
09/06/2024
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