Individual
KELLI DEE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8339 E VISTA DR, SCOTTSDALE, AZ 85250-7321
(480) 229-1535
Mailing address
940 S 131ST ST, GILBERT, AZ 85233-7602
(480) 229-1535
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
247493
AZ
Other
Enumeration date
09/14/2020
Last updated
11/29/2021
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