Individual
BETHANY MAUREEN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-7283
(407) 303-0347
Mailing address
2501 N ORANGE AVE, ORLANDO, FL 32804-4603
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11006207
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11006207
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11006207
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105946200
—
FL
Enumeration date
02/19/2020
Last updated
04/19/2023
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