MARY KELLEY, NURSE PRACTITIONER

Nurse Practitioner - Gerontology

Active Individual
NPI: 1164416277

Practice Address

12425 W BELL RD
SUITE 200
Surprise, AZ 85378

Phone: (623) 374-7774

Specialties

Specialty Code Primary License
Nurse Practitioner - Gerontology 363LG0600X Yes AP0029 (AZ)
Nurse Practitioner - Family 363LF0000X No AP2547 (AZ)

Frequently Asked Questions

NPI 1164416277 is the National Provider Identifier for MARY KELLEY, NURSE PRACTITIONER, a Nurse Practitioner - Gerontology provider located in Surprise, AZ. This NPI was enumerated on September 2, 2005.
MARY KELLEY, NURSE PRACTITIONER practices at 12425 W BELL RD, SUITE 200, Surprise, AZ 85378.

Quick Facts

NPI
1164416277
Type
Individual
Enumerated
Sep 2, 2005
Last Updated
Jul 11, 2011

Nearby Providers