Provider Demographics
NPI:1710211446
Name:NOSKA, KELLY ANN (ANP-BC)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:ANN
Last Name:NOSKA
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Gender:F
Credentials:ANP-BC
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Mailing Address - Street 1:526 MAIN ST
Mailing Address - Street 2:STE 302
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3301
Mailing Address - Country:US
Mailing Address - Phone:978-849-7507
Mailing Address - Fax:978-371-0522
Practice Address - Street 1:80 ERDMAN WAY
Practice Address - Street 2:STE 100
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-1840
Practice Address - Country:US
Practice Address - Phone:978-371-7010
Practice Address - Fax:978-371-0522
Is Sole Proprietor?:No
Enumeration Date:2009-09-29
Last Update Date:2017-02-21
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Provider Licenses
StateLicense IDTaxonomies
MA265158363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health