Provider Demographics
NPI:1386286375
Name:PELLAND, KIELEE BETH (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KIELEE
Middle Name:BETH
Last Name:PELLAND
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 KENNEDY DR STE L1
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-7165
Mailing Address - Country:US
Mailing Address - Phone:802-495-5997
Mailing Address - Fax:802-495-5904
Practice Address - Street 1:1 KENNEDY DR STE L1
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-7165
Practice Address - Country:US
Practice Address - Phone:802-495-5997
Practice Address - Fax:802-495-5904
Is Sole Proprietor?:No
Enumeration Date:2019-10-11
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0134410363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily