Individual
KELLY E MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 655-3011
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
340182
AZ
363LF0000X
Family Nurse Practitioner
Primary
CNP-78892
NM
Other
Enumeration date
06/13/2024
Last updated
07/13/2026
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