Kelley Qualters Valid NPI

Individual provider · Adult Health Nurse Practitioner · South Portland, ME

NPI

1124761671

Type

Individual (Type 1)

Primary specialty

Adult Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LA2200X

License number

309069 (NY)

Sex

Female

Sole proprietor

No

Enumerated

2022-04-13

Last updated

2022-04-13