Individual provider · Type 1 NPI
Mary Gay Kelley, NURSE PRACTITIONER
Gerontology Nurse Practitioner · Surprise, AZ
NPI number
1164416277
Active
Practice location
12425 W Bell Rd, Suite 200
Surprise, AZ 85378-9006
Fax (623) 240-1110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AP0029 (AZ) |
| Family Nurse Practitioner | 363LF0000X | AP2547 (AZ) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1164416277
Mary Gay Kelley, NURSE PRACTITIONER's National Provider Identifier is 1164416277, issued on Sep 2, 2005. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Surprise, AZ. The record was last updated on Jul 11, 2011.