Individual
MS. PAULA MARIE KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., N.P., M.S.N.
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 571-4203
(707) 571-4557
Mailing address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 571-4203
(707) 571-4557
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
271309
CA
Other
Enumeration date
08/31/2006
Last updated
07/09/2007
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