Individual
KELLY RAE MCELROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5859 W TALAVI BLVD, SUITE 100, GLENDALE, AZ 85306-1869
(602) 298-7777
(623) 930-6060
Mailing address
18275 N 59TH AVE, SUITE 142, GLENDALE, AZ 85308-1260
(480) 765-2800
(480) 076-5279
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN127856
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
967903
—
AZ
Enumeration date
08/12/2005
Last updated
04/20/2017
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