Individual
DR. KELLI ANN BURESH
Active
Individual
DR. KELLI ANN BURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP ARNP AGPCNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
HI55243
IA
363LG0600X
Gerontology Nurse Practitioner
HI55243
IA
363LP2300X
Primary Care Nurse Practitioner
H155243
IA
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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