KELLI MAURIC, WHNP-BC, APRN

Women's Health Nurse Practitioner · EDEN, UT

Individual Active NPI 1245353416

Taxonomy & licensure

Specialty	Code	Primary	License	State
Women's Health Nurse Practitioner	363LW0102X	✓	10115460-4405	UT
Women's Health Nurse Practitioner	363LW0102X		NP-07962	OH

0827627 (OH)
10115460-4405 — APRN STATE LICENSURE (UT)
NP-07962 — OHIO BOARD OF NURSING - CERTIFICATE OF AUTHORITY FOR WHNP-BC LICENSURE - OH (OH)
000000356173 — ANTHEM B/C B/S (OH)
193200000X — MULTI-SPECIALTY GROUP TAXONOMY BALANCE THE BRAIN PROFESSIONAL CORPORATION (UT)
363LW0102X — NURSE PRACTITIONER - WOMENS HEALTH TAXONOMY (UT)
MAU1-0427-9585 — NATIONAL CERTIFICATION CORPORATION -USA WOMENS HEALTH NURSE PRACTITIONER WHNP-BC (OH)
1073270666 — NPI BALANCE THE BRAIN PROFESSIONAL CORPORATION (UT)
193200000X — PROVIDER MULTI-SPECIALTY GROUP - SECONDARY TAXONOMY BALANCE THE BRAIN PROF CORP (UT)
356173 — BUCKEYE (OH)
I20180403001591 — PECOS ENROLLMENT ID
R04778 — SUMMACARE (OH)
10115460-8900 — APRN CONTROLLED SUBSTANCE ID (UT)
104279585 — NATIONAL CERTIFICATION CORPORATION - WHNP-BC (BOARD CERTIFIED)
APP0002758 — COPIC RRG VIA BAXTER & ASSOCIATES LLC CERTIFICATE OF LIABILITY INSURANCE (UT)
P01571485 — MEDICARE RR (OH)
RN266333 — NATIONAL COUNCIL OF NURSING STATE BOARDS & LICENSURE REGISTERED NURSES (OH)
740142 — BUCKEYE MEDICAID (OH)
APRN.CNP.07962 — WHNP-BC WITH CERTIFICATE TO PRESCRIBE (OH)

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.