Individual
KELLY STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1141 S LA CANADA DR, GREEN VALLEY, AZ 85614-1945
(520) 694-8021
Mailing address
1141 S LA CANADA DR, GREEN VALLEY, AZ 85614-1945
(520) 694-8021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7827
AZ
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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