Individual
KELLY BARRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN266859
GA
363LN0000X
Neonatal Nurse Practitioner
Primary
RN266859
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2022
Last updated
12/30/2022
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