KELLI MASK MAMADALIYEV CPNP NPI 1548697014

NPI Information

NPI: 1548697014
Provider Name: KELLI MASK MAMADALIYEV, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
333 N SANTA ROSA ST
SAN ANTONIO, TX
ZIP 78207
Phone: (210) 704-4038
Get Directions

Kelli Mask Mamadaliyev, CPNP is a pediatrics nurse practitioner in San Antonio, TX. Kelli Mask Mamadaliyev, CPNP NPI is 1548697014. 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:

333 N SANTA ROSA ST
SAN ANTONIO, TX
ZIP 78207-108
Phone: (210) 704-4038
Fax: (210) 704-4520

The enumeration date for this NPI number is 9/30/2013 and was last updated on 10/7/2021.

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	720441	TEXAS	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »