Individual
KELSEY MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
37200 N GANTZEL RD STE 340, QUEEN CREEK, AZ 85140-7390
(480) 636-1193
(480) 664-3661
Mailing address
9964 E RUBIDIUM AVE, MESA, AZ 85212-8947
(586) 945-6408
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
247922
AZ
363LF0000X
Family Nurse Practitioner
Primary
247922
AZ
Other
Enumeration date
10/08/2020
Last updated
03/28/2025
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