Individual
KELSEY IRONSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
70 S VAL VISTA DR STE A3-187, GILBERT, AZ 85296-1374
(602) 206-7793
Mailing address
70 S VAL VISTA DR STE A3-187, GILBERT, AZ 85296-1374
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
RN195009
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
322556
AZ
Other
Enumeration date
04/18/2025
Last updated
12/01/2025
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