Pirruccello, Kelli L.
Pirruccello, Kelli L. is an individual health care provider with primary practice located at 707 N 190Th Plz , Elkhorn NE 68022-3974. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Pirruccello, Kelli L. can be contacted via phone (402) 815-6428.Contact Information
Primary practice address
707 N 190Th Plz
Elkhorn NE 68022-3974
Phone: (402) 815-6428
Fax: (402) 815-1565
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 71216 | Nebraska |
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | 111868 | Nebraska |
Profile Details
NPI number | 1073996021 |
---|---|
LBN Legal business name | Pirruccello, Kelli L. |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2015 |
Last updated | Sep 2nd, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073996021 | NPPES |
Nebraska | MEDICAID | 100258661-00 | |
Nebraska | MEDICAID | 1073996021 |
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