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Dr. Luanne Takacs Kelly, NP
Adult Health Nurse Practitioner in Phoenix, Arizona
NPI 1073849360

Luanne Takacs Kelly is an Adult Health Nurse Practitioner based in Phoenix, AZ and is specialized in Adult Health. Luanne Takacs Kelly practices in Phoenix, AZ and has the professional credentials of NP. The NPI Number for Luanne Takacs Kelly is 1073849360 and holds a License No. AP3594 (Arizona).

The current practice location address for Luanne Takacs Kelly is 2400 W Dunlap Ave Ste 125, Phoenix, AZ and can be reached out via phone at 520-340-8686 and via fax at 623-738-0425.

Location: 2400 W Dunlap Ave Ste 125, Phoenix, AZ, 85021-2885
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Provider Profile Details
NPI Number
1073849360
Provider Name
Luanne Takacs Kelly
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2400 W Dunlap Ave Ste 125, Phoenix, AZ, 85021-2885
Phone Number
520-340-8686
Fax Number
623-738-0425
Provider Enumeration Date
10/22/2009
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
048119 01 AZ ANCC
618876 05 AZ
UP80001B 01 PA NP LICENSE
AP3594 01 AZ ARIZONA BOARD OF NURSING
1073849360 05 AZ
Z25025 01 AZ MEDICARE
institution
Provider Business Practice Location Address Details
Address
2400 W Dunlap Ave Ste 125
City
State
Zip
85021-2885
Phone Number
520-340-8686
Fax Number
623-738-0425
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Provider Business Mailing Address Details
Address
2400 W Dunlap Ave Ste 125
City
State
Zip
85021-2885
Phone Number
520-340-8686
Fax Number
623-738-0425
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
AP3594 (Arizona)
Definition
Definition to come...
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