Healthcare Provider Details

I. General information

NPI: 1902578172
Provider Name (Legal Business Name): KELSEY NICOLE STRAND RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11835 QUEENS BLVD STE 400
FOREST HILLS NY
11375-7211
US

IV. Provider business mailing address

41 WINFIELD LN
WALNUT CREEK CA
94595-2640
US

V. Phone/Fax

Practice location:
  • Phone: 646-722-7610
  • Fax: 347-535-3970
Mailing address:
  • Phone: 925-705-5277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95018555
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: