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Kelly Diana Deckard, FNP
Pediatric Nurse Practitioner in Phoenix, Arizona
NPI 1245668623

Kelly Diana Deckard is a Pediatric Nurse Practitioner based in Phoenix, AZ and is specialized in Pediatrics. Kelly Diana Deckard practices in Phoenix, AZ and has the professional credentials of FNP. The NPI Number for Kelly Diana Deckard is 1245668623 and holds a License No. 274000 (Arizona).

The current practice location address for Kelly Diana Deckard is 2120 N Central Ave, Phoenix, AZ and can be reached out via phone at 602-933-6100 and via fax at 602-933-2422.

Location: 2120 N Central Ave, Phoenix, AZ, 85016-0008
person
Provider Profile Details
NPI Number
1245668623
Provider Name
Kelly Diana Deckard
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2120 N Central Ave, Phoenix, AZ, 85016-0008
Phone Number
602-933-6100
Fax Number
602-933-2422
Provider Enumeration Date
10/23/2013
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
158847 05 AZ
institution
Provider Business Practice Location Address Details
Address
2120 N Central Ave
City
State
Zip
85004-1455
Phone Number
602-933-6100
Fax Number
602-933-2422
person
Provider Business Mailing Address Details
Address
2120 N Central Ave
City
State
Zip
85004-1455
Phone Number
602-933-6100
Fax Number
602-933-2422
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
274000 (Arizona)
Definition
Definition to come...
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