Active NPIIndividual provider

Kelly A Rivell, APN

Nurse Practitioner, Gerontology in Paulsbor, New Jersey

NPI Number1871268011
Practice location
Pbf Energy, 800 Billingsport Road, Paulsbor, NJ 08066
Fax
—
Last updated
August 10, 2021

Kelly Anne Rivell is a Nurse Practitioner, Gerontology based in Paulsbor, NJ. Kelly Anne Rivell practices in Paulsbor, NJ and has the professional credentials of APN. The NPI Number for Kelly Anne Rivell is 1871268011 and holds a License No. 26NJ01156100 (NJ). The current practice location address for Kelly Anne Rivell is Pbf Energy, 800 Billingsport Road, Paulsbor, NJ 08066 and can be reached out via phone at 856-224-6200.

Provider Profile Details

NPI Number
1871268011
Provider Name
Kelly Anne Rivell
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
Pbf Energy, 800 Billingsport Road, Paulsbor, NJ 08066
Phone Number
856-224-6200
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
August 10, 2021
Last Update Date
August 10, 2021
Certification Date
July 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
Pbf Energy
800 Billingsport Road
Paulsbor, NJ 08066
Zip
08066
Phone Number
856-224-6200
Paulsbor, NJ 08066Get directions →

Provider Business Mailing Address Details

Address
10 Saint Regis Dr
West Deptford, NJ 08096-3928
City
West Deptford
State
NJ
Zip
08096-3928
Phone Number
609-410-7557

License Information

License Number
26NJ01156100
License State
NJ
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 Kelly A Rivell, APN?

The NPI number of Kelly A Rivell, APN is 1871268011. It was assigned on August 10, 2021 and is currently active in the NPPES registry.

What is the specialty of Kelly A Rivell, APN?

Kelly A Rivell, APN is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26NJ01156100.

Where does Kelly A Rivell, APN practice?

The practice location is Pbf Energy, 800 Billingsport Road, Paulsbor, NJ 08066. The office can be reached at 856-224-6200 (phone).

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 1871268011 directly on the NPPES registry website.

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