Doctor Name: | MS. KELLIE CIRULLI |
NPI Number: | 1679960629 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN-BC |
License Number: | RN330234L |
Business Practice Address: | 210 Capri Ln Blandon, PA - 195109483 |
Business Phone Number: | 6104018179 |
Business Fax Number: | |
Mailing Address: | 210 Capri Ln, BLANDON |
State: | PA |
Postal Code: | 195109483 |
Phone Number: | 6104018179 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2015 |
NPI Last Update Date: | 04/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | RN330234L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |