Individual
ALYSSA JAYNE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
806 68TH AVE E, FIFE, WA 98424-1430
(253) 625-4642
Mailing address
806 68TH AVE E, FIFE, WA 98424-1430
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP70080926
WA
363LF0000X
Family Nurse Practitioner
AP70080926
WA
363LP0200X
Pediatric Nurse Practitioner
AP70080926
WA
Other
Enumeration date
01/17/2026
Last updated
01/17/2026
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