Moreau, Kelli

Moreau, Kelli is an individual health care provider with primary practice located at 4130 Tamiami Trl Unit 202 , Port Charlotte FL 33952-9207. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moreau, Kelli can be contacted via phone (941) 787-7111.

Contact Information

Primary practice address
4130 Tamiami Trl Unit 202 Port Charlotte FL 33952-9207
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 002783 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11009899 Florida

Profile Details

NPI number 1194738104
LBN Legal business name Moreau, Kelli
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Nov 29th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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