MISS MARY DANA KELLY CPNP NPI 1720245780

NPI Information

NPI: 1720245780
Provider Name: MISS MARY DANA KELLY, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
300 LONGWOOD AVE
CHPCC HUNNEWELL GROUND
BOSTON, MA
ZIP 02115
Phone: (617) 355-7701
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MISS Mary Dana Kelly, CPNP is a pediatrics nurse practitioner in Boston, MA. MISS Mary Dana Kelly, CPNP NPI is 1720245780. 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:

300 LONGWOOD AVE
CHPCC HUNNEWELL GROUND
BOSTON, MA
ZIP 02115
Phone: (617) 355-7701

The enumeration date for this NPI number is 5/19/2008 and was last updated on 5/19/2008.

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	364SP0200X	Clinical Nurse Specialist	Pediatrics	152018	MASSACHUSETTS	No
2	363LP0200X	Nurse Practitioner	Pediatrics	152018	MASSACHUSETTS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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