Individual
KELSEY COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-7761
(602) 933-1815
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
245999
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089191
—
AZ
Enumeration date
02/21/2021
Last updated
03/29/2022
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