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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336118678 NPPES
Arizona Other RN063733 NURSING LICENSE

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