Individual
LISA ANN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
1919 E THOMAS RD, EAST BUILDING, PHOENIX, AZ 85016-7710
(602) 546-1900
(602) 546-1918
Mailing address
1919 E THOMAS RD, BUILDING 2108, SUITE 101, PHOENIX, AZ 85016-7710
(602) 512-8029
(602) 512-8161
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN118987/AP2738
AZ
Other
Enumeration date
07/19/2007
Last updated
01/22/2013
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