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MS. NAN MARIE KELLY N.P.
NPI 1659464071
Nurse Practitioner - Family in Aguanga, CA

Active since September 30, 2006
44225 BARBARA TRL, AGUANGA, CA 92536(951) 763-5634(951) 763-5634 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Nan Marie Kelly N.p. NPPES

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

MS. NAN MARIE KELLY N.P. (NPI 1659464071) is an individual family provider in Aguanga, California, licensed in California (216481) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1659464071
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. NAN MARIE KELLYCredential: N.P.
Location Address44225 BARBARA TRLAguanga, CA 92536-9654
Mailing AddressP.o. Box 391700, Anza Community ClinicAnza, CA 92539-1700 · (951) 763-5000 · Fax (951) 763-5003
Phone(951) 763-5634
Fax(951) 763-5634
Sole ProprietorNo
Enumeration DateSeptember 30, 2006
Last NPPES UpdateNovember 3, 2011
✔ NPI 1659464071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 216481
44225 BARBARA TRL, Aguanga, CA 92536
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Other Names 1

Professional Name (2)Ms. Nan Marie Kelly N.p.

Other Identifiers 1

Medicare UPINR95717CA

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 Nan Kelly's NPI number?

The NPI number for Nan Kelly is 1659464071. It was assigned to this individual provider in the NPPES registry on September 30, 2006. The provider is also known as Ms. Nan Marie Kelly N.P..

Where is Nan Kelly located?

Nan Kelly practices at 44225 Barbara Trl, Aguanga, CA 92536. The listed phone number is (951) 763-5634.

What is Nan Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nan Kelly was last updated on November 3, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.