NPI Profile for KELLY R DURANTE in COLLEGEVILLE, PA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1376086348 |
|
| Status | Active | |
| Credentials | CRNP (Certified Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 11/23/2016 | |
| Last updated | 05/31/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KELLY R DURANTE
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