Individual
COLLEEN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, RN
Contact information
Practice address
500 N 3RD ST, PHOENIX, AZ 85004-2129
(602) 496-0782
Mailing address
1402 E HUBBELL ST, PHOENIX, AZ 85006-1751
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN032560
AZ
363LF0000X
Family Nurse Practitioner
FNP 369
AZ
Other
Enumeration date
03/05/2007
Last updated
01/10/2012
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