Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 1-101065 | AL |
N | 363LA2200X | Nurse Practitioner - Adult Health | 1-101065 | AL |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 1-101065 | AL |
N | 363LG0600X | Nurse Practitioner - Gerontology | 1-101065 | AL |
NPI | 1154823581 |
---|---|
Provider Name | Ms. Kelley Mcqueen Strain |
First Address | Huntsville, AL 35801-3066 |
Second Address | Huntsville, AL 35802-4360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2018 |
Last Update Date | 14/09/2021 |