Individual
MRS. KELLY ELEANOR MARIE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3638 E SOUTHERN AVE STE C101, MESA, AZ 85206-2563
(480) 564-3763
(480) 716-3723
Mailing address
3638 E SOUTHERN AVE STE C101, MESA, AZ 85206-2563
(480) 564-3763
(480) 716-3723
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8991
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP8991
LICENSE
AZ
Enumeration date
09/21/2016
Last updated
01/30/2026
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