Individual
KELLI ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4840 E INDIAN SCHOOL RD, PHOENIX, AZ 85018-5500
(602) 954-3919
Mailing address
12112 W DESERT MIRAGE DR, PEORIA, AZ 85383-8201
(602) 692-0575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3309
AZ
Other
Enumeration date
04/23/2009
Last updated
05/19/2014
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