Ms Nan Marie Kelly, NP - Nurse Practitioner in Aguanga, CA

Ms Nan Marie Kelly, NP is a Nurse Practitioner - Family based in Aguanga, California. Ms Nan Marie Kelly is licensed to practice in California (license number 216481) and her current practice location is 44225 Barbara Trl, Aguanga, California. She can be reached at her office (for appointments etc.) via phone at (951) 763-5634.

NPI number for Ms Nan Marie Kelly is 1659464071 and her current mailing address is P.o. Box 391700, Anza Community Clinic, Anza, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659464071.

Contact Information

Ms Nan Marie Kelly, NP
44225 Barbara Trl,
Aguanga, CA 92536-9654
(951) 763-5634
(951) 763-5634



Provider's Profile

Full NameMs Nan Marie Kelly
GenderFemale
SpecialityNurse Practitioner - Family
Location44225 Barbara Trl, Aguanga, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659464071
  • Provider Enumeration Date: 09/30/2006
  • Last Update Date: 11/03/2011

Medical Identifiers

Medical identifiers for Ms Nan Marie Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659464071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 216481 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nan Marie Kelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Nan Marie Kelly, NP
P.o. Box 391700, Anza Community Clinic,
Anza, CA 92539-1700

Ph: (951) 763-5000
Ms Nan Marie Kelly, NP
44225 Barbara Trl,
Aguanga, CA 92536-9654

Ph: (951) 763-5634

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› Verified 7 days ago


Nurse Practitioner Nurses in Aguanga, CA

Cara Nicole Sather, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 45161 Sage Rd, Aguanga, CA 92536
Phone: 760-518-7779    
Mrs. Mary Bridgid Foye, MSN, FNP, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 50605 Bradford Rd, Aguanga, CA 92536
Phone: 951-764-2277    

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