Individual
KELLI YVETTE THURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1600 HOSPITAL PKWY, BEDFORD, TX 76022-6913
(817) 848-2708
(817) 848-4579
Mailing address
1600 HOSPITAL PKWY, BEDFORD, TX 76022-6913
(817) 848-2708
(817) 848-4579
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
518078
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
518078
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
518078
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041504401
—
TX
Enumeration date
09/23/2005
Last updated
05/04/2023
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