NPI 1194053637 · live from the CMS NPI Registry
Kelly Pratt, APN
Nurse Practitioner, Family in Grand Forks, ND. National Provider Identifier 1194053637, active.
NPI record
| NPI | 1194053637 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 2401 S Washington St Ste F, Grand Forks, ND 58201 |
| Practice phone | 701-248-8216 |
| Enumerated | November 20, 2009 |
| Last updated | October 16, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Adult Health | 363LA2200X | 14565 (TN) |
| Registered Nurse, Diabetes Educator | 163WD0400X | 135592 (TN) |
| Nurse Practitioner, Family primary | 363LF0000X | R30038 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.