Individual provider · Type 1 NPI
Kelly Marcum, NP
Family Nurse Practitioner · Overgaard, AZ
NPI number
1619973930
Active
Practice location
2931 S Hwy 260
Overgaard, AZ 85933
Fax (928) 536-3615
Mailing address
2200 E Show Low Lake Rd
Show Low, AZ 85901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN036514 (AZ) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Overgaard
About NPI 1619973930
Kelly Marcum, NP's National Provider Identifier is 1619973930, issued on Jun 22, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Overgaard, AZ. The record was last updated on Dec 30, 2013.