Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLI AMANDA FUGATE
Active Sole ProprietorKELLI AMANDA FUGATE is a Licensed Practical Nurse healthcare provider located in MAYBEE, Michigan. NPI 1023845120 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · MAYBEE, MI
Registration Details
- NPI Number
- 1023845120
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2024 (1.9098675564164 yrs)
- Last Updated
- Sep 14, 2024
- License
-
4703125158 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7755 FREDERICK STMAYBEE, MI, 481599697Browse MI providers · Browse ZIP 48159
- Phone
- 7342179694
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.