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Noelle Catherine Kellicker, CNP
Pediatric Nurse Practitioner in Worcester, Massachusetts
NPI 1245769074

Noelle Catherine Kellicker is a Pediatric Nurse Practitioner based in Boston, MA and is specialized in Pediatrics. Noelle Catherine Kellicker practices in Worcester, MA and has the professional credentials of CNP. The NPI Number for Noelle Catherine Kellicker is 1245769074 and holds a License No. RN2315082 (Massachusetts).

The current practice location address for Noelle Catherine Kellicker is 55 Lake Ave N, Worcester, MA and can be reached out via phone at 774-442-2853 and via fax at 774-443-7268.

Location: 55 Lake Ave N, Worcester, MA, 02241-5348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245769074
Provider Name
Noelle Catherine Kellicker
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N, Worcester, MA, 02241-5348
Phone Number
774-442-2853
Fax Number
774-443-7268
Provider Enumeration Date
06/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
774-442-2853
Fax Number
774-443-7268
person
Provider Business Mailing Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
774-442-2853
Fax Number
774-443-7268
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
163WP0200X
License No.
RN2315082 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN2315082 (Massachusetts)
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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
RN2315082 (Massachusetts)
Definition
Definition to come...
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