Keller, Courtney Ann
Keller, Courtney Ann is an sole proprietor health care provider with primary practice located at 9165 W Thunderbird Rd Suite 201 , Peoria AZ 85381-4847. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Keller, Courtney Ann can be contacted via phone (623) 876-8420.Contact Information
Primary practice address
9165 W Thunderbird Rd Suite 201
Peoria AZ 85381-4847
Phone: (623) 876-8420
Fax: (623) 285-2626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP7558 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent | 364SP0807X | 46 | North Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 46 | North Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN173592 | Arizona |
Profile Details
| NPI number | 1336307495 |
|---|---|
| LBN Legal business name | Keller, Courtney Ann |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2008 |
| Last updated | Oct 28th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336307495 | NPPES |
| North Dakota | MEDICAID | 054517 | |
| North Dakota | MEDICAID | 979757 | |
| North Dakota | Other | PENDING | |
| North Dakota | Other | PENDING |
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