Individual
TRACY KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-4142
Mailing address
14857 N DEERSKIN DR, FOUNTAIN HILLS, AZ 85268-2504
(480) 330-5969
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
RN115809
AZ
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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