Active NPIIndividual providerSole proprietor

Annette L Kelleher, NP

Nurse Practitioner, Gerontology in Providence, Rhode Island

NPI Number1316178676
Practice location
50 Maude St, Providence, RI 02908-4325
Fax
401-456-6780
Last updated
July 17, 2019

Annette L Kelleher is a Nurse Practitioner, Gerontology based in Providence, RI. Annette L Kelleher practices in Providence, RI and has the professional credentials of NP. The NPI Number for Annette L Kelleher is 1316178676 and holds a License No. NPP37519 (RI). The current practice location address for Annette L Kelleher is 50 Maude St, Providence, RI 02908-4325 and can be reached out via phone at 401-456-6616 and via fax at 401-456-6780.

Provider Profile Details

NPI Number
1316178676
Provider Name
Annette L Kelleher
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
50 Maude St, Providence, RI 02908-4325
Phone Number
401-456-6616
Fax Number
401-456-6780
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
Yes
Provider Enumeration Date
August 5, 2009
Last Update Date
July 17, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Maude St
Providence, RI 02908-4325
Zip
02908-4325
Phone Number
401-456-6616
Fax Number
401-456-6780
Providence, RI 02908Get directions →

Provider Business Mailing Address Details

Address
9201 E Mountain View RD Ste 220
Scottsdale, AZ 85258-5172
City
Scottsdale
State
AZ
Zip
85258-5172
Phone Number
855-246-6287

License Information

License Number
NPP37519
License State
RI
Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Annette L Kelleher, NP?

The NPI number of Annette L Kelleher, NP is 1316178676. It was assigned on August 5, 2009 and is currently active in the NPPES registry.

What is the specialty of Annette L Kelleher, NP?

Annette L Kelleher, NP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in RI under license number NPP37519.

Where does Annette L Kelleher, NP practice?

The practice location is 50 Maude St, Providence, RI 02908-4325. The office can be reached at 401-456-6616 (phone) or 401-456-6780 (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 1316178676 directly on the NPPES registry website.

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