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

Kelly Roberto, FNP-C

Individual provider Nurse Practitioner · NPI 1124629464

Kelly Roberto, FNP-C is a Nurse Practitioner in Maplewood, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2196 White Bear Ave N
Maplewood, MN 55109-2708
Phone: (651) 704-0322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7676 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 7676 (MN)

Record details

NPI number1124629464
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 3, 2020
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021

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