KELLY MARGUERITE MISKILL CRNP NPI 1588901094

NPI Information

NPI: 1588901094
Provider Name: KELLY MARGUERITE MISKILL, CRNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
7200 BANCROFT AVE STE 133
OAKLAND, CA
ZIP 94605
Phone: (510) 853-7666
Get Directions

Kelly Marguerite Miskill, CRNP is a psychiatric/mental health nurse practitioner in Oakland, CA. Kelly Marguerite Miskill, CRNP NPI is 1588901094. 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:

7200 BANCROFT AVE STE 133
OAKLAND, CA
ZIP 94605-480
Phone: (510) 853-7666

The NPI 1588901094 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 1/4/2013 and was last updated on 6/30/2021.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	NP95013969	CALIFORNIA	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	SP013904	PENNSYLVANIA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	401547	NEW YORK	No

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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