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Kelsey Marie Bivacca, MSN,FNP-BC
Family Nurse Practitioner in Park Ridge, Illinois
NPI 1285199679

Kelsey Marie Bivacca is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Kelsey Marie Bivacca practices in Park Ridge, IL and has the professional credentials of MSN,FNP-BC. The NPI Number for Kelsey Marie Bivacca is 1285199679 and holds a License No. 11001380 (Illinois).

The current practice location address for Kelsey Marie Bivacca is 1700 Luther Ln Ste 1220, Park Ridge, IL and can be reached out via phone at 847-723-4400.

Location: 1700 Luther Ln Ste 1220, Park Ridge, IL, 60673-1293
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285199679
Provider Name
Kelsey Marie Bivacca
Credential
MSN,FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1700 Luther Ln Ste 1220, Park Ridge, IL, 60673-1293
Phone Number
847-723-4400
Fax Number
Provider Enumeration Date
02/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1700 Luther Ln Ste 1220
City
Park Ridge
State
Illinois
Zip
60068-1270
Phone Number
847-723-4400
Fax Number
person
Provider Business Mailing Address Details
Address
1700 Luther Ln Ste 1220
City
Park Ridge
State
Illinois
Zip
60068-1270
Phone Number
847-723-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11001380 (Florida)
Definition
Definition to come...
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