Individual
KELLY ANNE CRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
(928) 669-3131
Mailing address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
(928) 669-3131
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
20810
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
F308513
NY
363LA2200X
Adult Health Nurse Practitioner
RN2297969
MA
Other
Enumeration date
05/30/2012
Last updated
05/15/2025
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