Individual
KELLY JANE MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1000 N SEPULVEDA BLVD STE 270, MANHATTAN BEACH, CA 90266-5975
(925) 282-1778
Mailing address
1000 N SEPULVEDA BLVD STE 270, MANHATTAN BEACH, CA 90266-5975
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95026102
CA
Other
Enumeration date
07/19/2023
Last updated
10/04/2024
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