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Mrs. Tara Marie Kelly, NP
Family Nurse Practitioner in Merrick, New York
NPI 1508503632

Tara Marie Kelly is a Family Nurse Practitioner based in Merrick, NY and is specialized in Family. Tara Marie Kelly practices in Merrick, NY and has the professional credentials of NP. The NPI Number for Tara Marie Kelly is 1508503632 and holds a License No. 347883 (New York).

The current practice location address for Tara Marie Kelly is 2119 Merrick Rd, Merrick, NY and can be reached out via phone at 516-377-2820.

Location: 2119 Merrick Rd, Merrick, NY, 11566-4704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508503632
Provider Name
Tara Marie Kelly
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2119 Merrick Rd, Merrick, NY, 11566-4704
Phone Number
516-377-2820
Fax Number
Provider Enumeration Date
05/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2119 Merrick Rd
City
Merrick
State
New York
Zip
11566-4704
Phone Number
516-377-2820
Fax Number
person
Provider Business Mailing Address Details
Address
2119 Merrick Rd
City
Merrick
State
New York
Zip
11566-4704
Phone Number
516-377-2820
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
347883 (New York)
Definition
Definition to come...
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