National Provider Identifier
Deloisa I Kelley, PMHNP
Deloisa I Kelley, PMHNP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Canandaigua, NY and a listed phone number of (585) 919-0014.
Source: public NPPES record, last updated October 25, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1134383946
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- July 11, 2008
- Last Updated
- October 25, 2022
Practice Location
- 42 N Main St
- Canandaigua, NY 14424-1446
Phone: (585) 919-0014
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
The NPPES record for Deloisa I Kelley, PMHNP lists Psychiatric/Mental Health Nurse Practitioner as the primary taxonomy and Canandaigua, NY as the practice location.
Full Record
- NPI
- 1134383946
- Entity Type
- Individual
- Last Name
- Kelley
- First Name
- Deloisa
- Middle Name
- I
- Credential
- PMHNP
- Mailing Street Address
- 42 N Main St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1446
- Mailing Country
- US
- Mailing Phone
- (585) 919-0014
- Mailing Fax
- (585) 919-0014
- Practice Street Address
- 42 N Main St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1446
- Practice Country
- US
- Practice Phone
- (585) 919-0014
- Enumeration Date
- July 11, 2008
- Last Updated
- October 25, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 25, 2022
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 01420800 (NY)