Individual
KELLEY MARIE MARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
333 E CAMELBACK RD STE 175, PHOENIX, AZ 85012-1623
(602) 840-3120
Mailing address
4690 S LAKESHORE DR APT 3050, TEMPE, AZ 85282-1170
(516) 784-8853
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RNP260103
AZ
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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