Individual
ALLYSEN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2077 E WILLIS RD, GILBERT, AZ 85297-2087
(928) 587-1147
Mailing address
2077 E WILLIS RD, GILBERT, AZ 85297-2087
(928) 587-7097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP10040
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10040
AZ
Other
Enumeration date
05/12/2017
Last updated
03/23/2023
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