Individual
KELSI MARIE RAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
1424 MADERA RD, SIMI VALLEY, CA 93065-3053
(805) 522-5722
Mailing address
137 PETERBOROUGH ST APT 14, BOSTON, MA 02215-4212
(904) 238-5215
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2346727
MA
363L00000X
Nurse Practitioner
2346727
MA
363L00000X
Nurse Practitioner
Primary
95028896
CA
Other
Enumeration date
06/29/2021
Last updated
03/12/2024
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