Kelly R Eells in Green Bay - Nurse Practitioner
Kelly R Eells - NPI 1487603593
Kelly R Eells is a Nurse Practitioner in Green Bay, Wisconsin. Kelly R Eells practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kelly R Eells is 1487603593. The last update date is 2011-05-11.
Kelly R Eells's current location address is 2223 Lime Kiln Rd, Green Bay, Wisconsin. You can contact this provider via phone number 9204308120 and fax number 9209657418. The mailing address for Kelly R Eells is 2223 Lime Kiln Rd, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly R Eells |
|---|---|
| Address | 2223 Lime Kiln Rd, Green Bay, Wisconsin |
| Phone Number | 9204308120 |
| Fax Number | 9209657418 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1487603593 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2011-05-11 |
Provider Mailing Address Detail
| Address | 2223 Lime Kiln Rd |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543116213 |
| Phone Number | 9204308120 |
| Fax Number | 9209657418 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 1506 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43911000 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kelly R Eells by the Centers for Medicare & Medicaid Services?
The Kelly R Eells has been issued the NPI (National Provider Identifier) 1487603593. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kelly R Eells is geographically located?
The Kelly R Eells is physically situated at the following location: 2223 Lime Kiln Rd, Green Bay, WI, 543116213.
What is Kelly R Eells's area of expertise and its corresponding taxonomy classification?
The Kelly R Eells's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Kelly R Eells receive its 1487603593 assignment from the Centers for Medicare & Medicaid Services?
The Kelly R Eells was assigned its 1487603593 on 2006-05-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kelly R Eells, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly R Eells, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-05-11.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN