NPI Profile for NOELLE C KELLICKER in WORCESTER, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Pediatrics |
163WP0200X |
| NPI # | 1245769074 |
|
| Status | Active | |
| Credentials | CNP (Certified Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 06/06/2017 | |
| Last updated | 07/21/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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NOELLE C KELLICKER
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