Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Marra, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1104538354

Kelly Marra, PNP is a Pediatric Nurse Practitioner in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

207 S 1st St Apt 3A
Brooklyn, NY 11211-4366
Phone: (314) 378-0274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence F383505-01 (NY)

Record details

NPI number1104538354
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedDecember 20, 2022
Last updated in NPPESDecember 20, 2022
Certification dateDecember 20, 2022

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