Speranzo-Otero, N.Kelly
Speranzo-Otero, N.Kelly is an individual health care provider with primary practice located at 2725 Rebecca Ln Ste 107 , Orange City FL 32763-8350. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Speranzo-Otero, N.Kelly can be contacted via phone (386) 775-0736.Contact Information
Primary practice address
2725 Rebecca Ln Ste 107
Orange City FL 32763-8350
Phone: (386) 775-0736
Fax: (386) 775-0738
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | ARNP9231203 | Florida |
Profile Details
NPI number | 1679797856 |
---|---|
LBN Legal business name | Speranzo-Otero, N.Kelly |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 12th, 2007 |
Last updated | Dec 7th, 2023 - about last year |
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 | 1679797856 | NPPES |
Florida | Other | 1679797856 | NPI |
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