MS. MARY BETH KELZER NNP NPI 1215032545

NPI Information

NPI: 1215032545
Provider Name: MS. MARY BETH KELZER, NNP
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

Address:
1730 14TH STREET
SUITE C
MERIDIAN, MS
ZIP 39301
Phone: (601) 703-9396
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MS. Mary Beth Kelzer, NNP is a neonatal nurse practitioner in Meridian, MS. MS. Mary Beth Kelzer, NNP NPI is 1215032545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1730 14TH STREET
SUITE C
MERIDIAN, MS
ZIP 39301
Phone: (601) 703-9396

The enumeration date for this NPI number is 9/13/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0000X	Nurse Practitioner	Neonatal	R862793	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00122792	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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