Individual provider · Type 1 NPI
Courtney Ann Keller, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Peoria, AZ
NPI number
1336307495
Active
Practice location
9165 W Thunderbird Rd Suite 201
Peoria, AZ 85381-4847
Fax (623) 285-2626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP7558 (AZ) |
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 46 (ND) |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 46 (ND) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN173592 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1336307495
Courtney Ann Keller, PMHNP's National Provider Identifier is 1336307495, issued on May 27, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Peoria, AZ. The record was last updated on Oct 28, 2020.