Individual
DANA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
916 PACIFIC AVE, 7TH FLOOR, EVERETT, WA 98201-4147
(425) 303-6500
(425) 303-6550
Mailing address
916 PACIFIC AVE, 7TH FLOOR, EVERETT, WA 98201-4147
(425) 303-6500
(425) 303-6550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00056035
WA
163WC0400X
Case Management Registered Nurse
RN00056035
WA
163WC1500X
Community Health Registered Nurse
RN00056035
WA
163WG0000X
General Practice Registered Nurse
RN00056035
WA
163WH0200X
Home Health Registered Nurse
RN00056035
WA
163WL0100X
Lactation Consultant (Registered Nurse)
RN00056035
WA
163WM0102X
Maternal Newborn Registered Nurse
RN00056035
WA
163WN1003X
Nutrition Support Registered Nurse
RN00056035
WA
163WP0200X
Pediatric Registered Nurse
RN00056035
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN00056035
RN LICENSE NUMBER
WA
Enumeration date
03/07/2008
Last updated
03/07/2008
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