Individual
KELLI WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
830 HARRISON AVE, STE 3400, MOAKLEY BUILDING, BOSTON, MA 02118
(617) 414-8060
(617) 414-8012
Mailing address
801 ALBANY STREET, FL GROUND, BOSTON, MA 02119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2332560
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2332560
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2332560
MA STATE BOARD OF NURSING
MA
Enumeration date
07/25/2022
Last updated
09/28/2022
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