Individual
KELLY E BREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 257-9339
(602) 285-6533
Mailing address
750 W BASELINE RD APT 2142, TEMPE, AZ 85283-5937
(480) 820-5422
(480) 775-4938
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP5301
AZ
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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