Individual
KELLY CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32150 N NORTH FOOTHILLS DR, PHOENIX, AZ 85085
(623) 445-8400
Mailing address
32150 N NORTH FOOTHILLS DR, PHOENIX, AZ 85085
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN185830
AZ
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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