Individual provider · Type 1 NPI

Kelly Diana Deckard, FNP

Pediatric Nurse Practitioner · Phoenix, AZ

NPI number 1245668623 Active

Practice location

2120 N Central Ave
Phoenix, AZ 85004-1455

Fax (602) 933-2422

Mailing address

2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X274000 (AZ)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1245668623

Kelly Diana Deckard, FNP's National Provider Identifier is 1245668623, issued on Oct 23, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 21, 2024.