Individual
KELLEY ELWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
600 GRANGER RD, BARRE, VT 05641-5369
(802) 224-2225
Mailing address
PO BOX 505, WARREN, VT 05674-0505
(802) 793-8242
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
VT
363LF0000X
Family Nurse Practitioner
Primary
101.0134110
VT
Other
Enumeration date
12/06/2017
Last updated
10/21/2024
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