Individual
MRS. KELLIE ANN MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
946 BLOOMFIELD AVE, GLEN RIDGE, NJ 07028-1308
(973) 743-1121
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6410
(239) 343-4014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NN08534500
NJ
363LF0000X
Family Nurse Practitioner
APRN11032696
FL
363LF0000X
Family Nurse Practitioner
F332076
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0554651
—
NJ
05
—
122417400
—
FL
Enumeration date
04/20/2007
Last updated
06/10/2025
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