Provider Demographics
NPI:1457374985
Name:STROBEL, KELLI MICHELLE (RNFA, CNOR, ONC)
Entity Type:Individual
Prefix:MS
First Name:KELLI
Middle Name:MICHELLE
Last Name:STROBEL
Suffix:
Gender:F
Credentials:RNFA, CNOR, ONC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5190 CINNAMON FERN BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT ST JOHN
Mailing Address - State:FL
Mailing Address - Zip Code:32927-3403
Mailing Address - Country:US
Mailing Address - Phone:321-693-2401
Mailing Address - Fax:321-637-0553
Practice Address - Street 1:4405 INDIAN RIVER DR
Practice Address - Street 2:
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32927-6050
Practice Address - Country:US
Practice Address - Phone:321-637-0553
Practice Address - Fax:321-637-0553
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 2961272163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRN 2961272OtherFLORIDA NURSING LICENSE #