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Individual

CLAIRE JULIA KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1331 N 7TH ST, SUITE 375, PHOENIX, AZ 85006-2707
(602) 307-0070
(602) 307-0080
Mailing address
1331 N 7TH ST, SUITE 375, PHOENIX, AZ 85006-2707
(602) 307-0070
(602) 307-0080

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3704
AZ
363LF0000X
Family Nurse Practitioner
RN 133632
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
539775
AZ
Enumeration date
06/24/2010
Last updated
03/22/2011
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