Individual
KELLI MULVANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9201 E MOUNTAIN VIEW RD, SCOTTSDALE, AZ 85258-5199
(513) 638-8958
Mailing address
9201 E MOUNTAIN VIEW RD, SCOTTSDALE, AZ 85258-5199
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0031611
OH
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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