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Contact Information

COURTNEY A KELLER, PMHNP
9165 W THUNDERBIRD RD SUITE 201
PEORIA, AZ85381-4847
 Phone: 623-876-8420
 Fax: 623-285-2626
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
 

Psychiatric/Mental Health, Child & Adolescent

364SP0807X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for COURTNEY A KELLER · (Female)

NPI # 1336307495
Status Active
Credentials PMHNP
Entity Individual
Enumeration date 05/27/2008
Last updated 10/28/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # AP7558
  • AZ License # RN173592
  • ND License # 46
  • AZ Medicaid 979757
  • ND Medicaid 054517
  • ND Other PENDING BCBS ND
  • ND Other PENDING TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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