KELLY MAUREEN FERRINI


Address: 1767 Grant Ave, Novato, CA 94945
Phone: 4158981100

KELLY MAUREEN FERRINI (NPI# 1396959201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396959201
Entity Type Individual
Full Name KELLY MAUREEN FERRINI
Credential NP
Practice Address 1767 Grant Ave
Novato
CA 94945
Mailing Address 19 Wooddale Dr
Petaluma
CA 94952-2457
Practice Telephone 4158981100
Mailing Telephone 7077890294
Enumeration Date 2007-05-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
562218 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1767 GRANT AVE
City NOVATO
State CA
Zip Code 94945

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NPI Name Taxonomy Address Enumeration
1447581020 Novato Wellness Center Community/Behavioral Health 1767 Grant Ave, Novato, CA 94945-2229 2010-01-21

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295737435 Joleen D Bishop Nurse Practitioner 6100 Redwood Blvd, Novato, CA 94945-4501 2005-06-01

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1942832894 Bryonna Mathews Nurse Practitioner 362 Euclid Ave Apt 304, Oakland, CA 94610-3217 2020-02-09
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1013547090 Erin Elizabeth Murdock Nurse Practitioner 1986 Hummingbird Dr, Fairfield, CA 94534-6694 2020-01-18
1053950287 Caitlin Rota Nurse Practitioner 432 S Pacific Coast Hwy, Redondo Beach, CA 90277-3735 2020-01-06
1578109302 Ariel Rankin Mcdonald Nurse Practitioner 8920 Wilshire Blvd Ste 511, Beverly Hills, CA 90211-1949 2019-11-27
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Competitor

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City NOVATO
Zip Code 94945

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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