KELLY RAE HEBL GARCIA CPNP NPI 1083969398

NPI Information

NPI: 1083969398
Provider Name: KELLY RAE HEBL GARCIA, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1122 W HIGHWAY 61
WINONA, MN
ZIP 55987
Phone: (507) 615-0600
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Kelly Rae Hebl Garcia, CPNP is a pediatrics nurse practitioner in Winona, MN. Kelly Rae Hebl Garcia, CPNP NPI is 1083969398. 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:

1122 W HIGHWAY 61
WINONA, MN
ZIP 55987-957
Phone: (507) 615-0600

The NPI 1083969398 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2012 and was last updated on 7/22/2020.

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	363LP0200X	Nurse Practitioner	Pediatrics	713373	TEXAS	No
2	363LP0200X	Nurse Practitioner	Pediatrics	6002	MINNESOTA	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: 4/28/2024

NPI Synchronization or Removal

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