Noelle C Kellicker, CNP
Nurse Practitioner, Pediatrics in Worcester, Massachusetts
1245769074- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 774-442-2853
- Fax
- 774-443-7268
- Last updated
- July 21, 2022
Noelle Catherine Kellicker is a Nurse Practitioner, Pediatrics based in Worcester, MA. 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 (MA). The current practice location address for Noelle Catherine Kellicker is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 774-442-2853 and via fax at 774-443-7268.
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 01655-0002
- Phone Number
- 774-442-2853
- Fax Number
- 774-443-7268
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Sole Proprietor
- No
- Other Names
- Noelle C Kellicker (Professional Name)
- Provider Enumeration Date
- June 6, 2017
- Last Update Date
- July 21, 2022
- Certification Date
- March 29, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 774-442-2853
- Fax Number
- 774-443-7268
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
- Fax Number
- 508-334-1977
License Information
- License Number (1)
- RN2315082
- License State (1)
- MA
- Taxonomy (1)
- Registered Nurse, Pediatrics · 163WP0200X
- License Number (2)
- RN2315082
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner · 363L00000X
- License Number (3)
- RN2315082
- License State (3)
- MA
- Taxonomy (3)
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Pediatrics providers near Worcester, MA
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- Elizabeth F Denver, PNPNurse Practitioner, Pediatrics · NPI 1285079269
- Katherine D Birkholz, CNPNurse Practitioner, Pediatrics · NPI 1881177921
- Kelsey H StarekNurse Practitioner, Pediatrics · NPI 1699378224
- Kelsey L Moore, NPNurse Practitioner, Pediatrics · NPI 1821532391
- Leanne Mazeika, NPNurse Practitioner, Pediatrics · NPI 1679696363
Frequently Asked Questions
What is the NPI number of Noelle C Kellicker, CNP?
The NPI number of Noelle C Kellicker, CNP is 1245769074. It was assigned on June 6, 2017 and is currently active in the NPPES registry.
What is the specialty of Noelle C Kellicker, CNP?
Noelle C Kellicker, CNP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number RN2315082.
Where does Noelle C Kellicker, CNP practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 774-442-2853 (phone) or 774-443-7268 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245769074 directly on the NPPES registry website.