KELLY MARRA PNP
NPI 1104538354
Nurse Practitioner - Pediatrics in Brooklyn, NY

Q: What is Kelly Marra's NPI number?

The NPI number for Kelly Marra is 1104538354. It was assigned to this individual provider in the NPPES registry on December 20, 2022.

Q: What is Kelly Marra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Marra was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 20, 2022

207 S 1ST ST APT 3A, BROOKLYN, NY 11211(314) 378-0274 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly Marra Pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MARRA PNP (NPI 1104538354) is an individual pediatrics provider in Brooklyn, New York, licensed in New York (F383505-01) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1104538354

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKELLY MARRACredential: PNP

Location Address207 S 1ST ST APT 3ABrooklyn, NY 11211-4366

Mailing Address207 S 1st St Apt 3aBrooklyn, NY 11211-4366 · (314) 378-0274

Phone(314) 378-0274

Sole ProprietorNo

Enumeration DateDecember 20, 2022

NPPES CertifiedDecember 20, 2022

✔ NPI 1104538354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · F383505-01

207 S 1ST ST APT 3A, Brooklyn, NY 11211

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Marra's NPI number?

The NPI number for Kelly Marra is 1104538354. It was assigned to this individual provider in the NPPES registry on December 20, 2022.

Where is Kelly Marra located?

Kelly Marra practices at 207 S 1st St Apt 3A, Brooklyn, NY 11211. The listed phone number is (314) 378-0274.

What is Kelly Marra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kelly Marra was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.