Individual
KELSEY LYNN DE VILLIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP - C
Contact information
Practice address
3540 E BASELINE RD, PHOENIX, AZ 85042-9627
(623) 267-5200
Mailing address
2633 E ELGIN ST, CHANDLER, AZ 85225-2429
(480) 818-3150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
305140
AZ
Other
Enumeration date
03/22/2024
Last updated
03/26/2024
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