Individual
KELSEY JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4041 S MCCLINTOCK DR STE 302, TEMPE, AZ 85282-5879
(520) 233-7111
Mailing address
4041 S MCCLINTOCK DR STE 302, TEMPE, AZ 85282-5879
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
269407
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346678935
—
AZ
Enumeration date
09/20/2022
Last updated
09/20/2022
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