Individual
KERRY SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1510 E FLOWER ST, PHOENIX, AZ 85014-5698
(602) 954-0444
(602) 952-7146
Mailing address
1510 E FLOWER ST, PHOENIX, AZ 85014-5698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
268091
AZ
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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