Provider Demographics
NPI:1255789087
Name:TART, KELLI ELIZABETH (FNP)
Entity type:Individual
Prefix:
First Name:KELLI
Middle Name:ELIZABETH
Last Name:TART
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:801 S BARBEE CHAPEL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517
Mailing Address - Country:US
Mailing Address - Phone:919-328-3443
Mailing Address - Fax:919-385-4905
Practice Address - Street 1:801 S BARBEE CHAPEL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517
Practice Address - Country:US
Practice Address - Phone:919-328-3443
Practice Address - Fax:919-385-4905
Is Sole Proprietor?:No
Enumeration Date:2016-06-02
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5008564363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily