Individual
KELLEE A ETGHAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
951 NW 13TH ST STE 5B, BOCA RATON, FL 33486-2337
(561) 235-5621
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 425-5752
(731) 425-5783
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23140
TN
Other
Enumeration date
06/19/2017
Last updated
02/16/2026
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