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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY DEE VANCLEVE

Active

KELLY DEE VANCLEVE is a Acute Care Nurse Practitioner healthcare provider located in LAKEVILLE, Minnesota. NPI 1881290120 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · LAKEVILLE, MN

Registration Details

NPI Number
1881290120
Provider Type
Individual
Gender
Female
NPI Issued
Dec 10, 2020 (5.7135839306178 yrs)
Last Updated
Dec 10, 2020
License
1700477 (MN)

Practice Information

Address
18255 ICON CT
LAKEVILLE, MN, 550442276
Browse MN providers · Browse ZIP 55044
Phone
6123849408
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X
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.