Individual
MS. KELLIE ANN MCNERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
330 ELLIS ST, GLIDE HEALTH SERVICES, SUITE 418, SAN FRANCISCO, CA 94102-2735
(415) 674-6140
(415) 673-1037
Mailing address
380 COLEMAN DR, DIXON, CA 95620-3241
(707) 678-6174
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN 283687
CA
363LA2200X
Adult Health Nurse Practitioner
NP 4658
CA
363LC1500X
Community Health Nurse Practitioner
NP 4658
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
NP 4658
CA
Other
Enumeration date
04/17/2006
Last updated
04/12/2012
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