Mrs. Kelly Ann Godberson, NP
Mrs. Kelly Ann Godberson, NP is a Nurse Practitioner in Medford, New York. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in New York.
- Years since qualifying
- 9
- Licensed in
- NY
- In the registry since
- 2017
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
3115 Horseblock RdMedford, NY 11763-2526
Phone: (631) 730-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 308240 (NY) |
|---|
Record details
| NPI number | 1053833962 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NP |
| Sole proprietor | Yes |
| NPI enumerated | July 12, 2017 |
| Last updated in NPPES | July 12, 2017 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Medford
-
IV Glow and Wellness LLC
9 Cedar Ave, Medford, NY 11763-3501 · (631) 294-9780