Provider Demographics
NPI:1225342876
Name:CASH, KELLI MARIE (APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KELLI
Middle Name:MARIE
Last Name:CASH
Suffix:
Gender:F
Credentials:APRN, FNP-BC
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Mailing Address - Street 1:670 MASON RIDGE CENTER DR
Mailing Address - Street 2:STE 300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8573
Mailing Address - Country:US
Mailing Address - Phone:573-696-0500
Mailing Address - Fax:573-696-0509
Practice Address - Street 1:501 N ROUTE B
Practice Address - Street 2:
Practice Address - City:HALLSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65255-9266
Practice Address - Country:US
Practice Address - Phone:573-696-0500
Practice Address - Fax:573-696-0509
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2010028800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily