Individual
DR. LUANNE TAKACS KELLY
Active
Individual
DR. LUANNE TAKACS KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP3594
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048119
ANCC
AZ
05
—
1073849360
—
AZ
05
—
618876
—
AZ
01
—
AP3594
ARIZONA BOARD OF NURSING
AZ
01
—
UP80001B
NP LICENSE
PA
01
—
Z25025
MEDICARE
AZ
Enumeration date
10/22/2009
Last updated
08/18/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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