Individual
MRS. KELLY SUE HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
33606 N 60TH ST, SCOTTSDALE, AZ 85262-5243
(480) 437-3002
Mailing address
PO BOX 426, CAVE CREEK, AZ 85327-0426
(480) 262-0036
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN117695
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
882705
—
AZ
Enumeration date
12/08/2006
Last updated
07/08/2007
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