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Kellie Marie Reardon, FNP
Nurse Practitioner in San Marcos, Texas
NPI 1487645404

Kellie Marie Reardon is a Nurse Practitioner based in Yoakum, TX. Kellie Marie Reardon practices in San Marcos, TX and has the professional credentials of FNP. The NPI Number for Kellie Marie Reardon is 1487645404 and holds a License No. 516912 (Texas).

The current practice location address for Kellie Marie Reardon is 1301 Wonder World Dr, San Marcos, TX and can be reached out via phone at 512-753-3796. You can also correspond with Kellie Marie Reardon through the mailing address at 4680 COUNTY ROAD 419, YOAKUM, TX - 77995-7049 (mailing address contact number: 361-741-2678).

Location: 1301 Wonder World Dr, San Marcos, TX, 77995-7049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487645404
Provider Name
Kellie Marie Reardon
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1301 Wonder World Dr, San Marcos, TX, 77995-7049
Phone Number
512-753-3796
Fax Number
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
142619904 05 TX
89N666 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
1301 Wonder World Dr
City
San Marcos
State
Texas
Zip
78666-7533
Phone Number
512-753-3796
Fax Number
person
Provider Business Mailing Address Details
Address
1301 Wonder World Dr
City
San Marcos
State
Texas
Zip
78666-7533
Phone Number
512-753-3796
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
516912 (Texas)
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.
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