Individual
BRYANNA COLLEEN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, AGNP-BC
Contact information
Practice address
2384 VICTORY BLVD, STATEN ISLAND, NY 10314-6616
(718) 727-7546
Mailing address
100 INDIANA AVE, LONG BEACH, NY 11561-1227
(516) 322-5212
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3087931
NY
Other
Enumeration date
09/28/2020
Last updated
08/25/2022
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