Kelley, Suzanne
Kelley, Suzanne is an individual health care provider with primary practice located at 222 W Thomas Rd Ste 114 , Phoenix AZ 85013-4420. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kelley, Suzanne can be contacted via phone (602) 406-6304.Contact Information
Primary practice address
222 W Thomas Rd Ste 114
Phoenix AZ 85013-4420
Phone: (602) 406-6304
Fax: (602) 406-6302
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN063733 | Arizona |
Profile Details
NPI number | 1336118678 |
---|---|
LBN Legal business name | Kelley, Suzanne |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 17th, 2006 |
Last updated | Aug 23rd, 2023 - about 2 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 | 1336118678 | NPPES |
Arizona | Other | RN063733 | NURSING LICENSE |
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