KELLY DIANA DECKARD

PHOENIX, AZ
NPI1245668623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: AZ  274000)
Enumeration Date2013-10-23
Last Update Date2024-06-21
Business Address
KELLY DIANA DECKARD FNP
2120 N CENTRAL AVE
PHOENIX, AZ 85004-1455
Phone number: 602-933-6100
Mailing Address
KELLY DIANA DECKARD FNP
2108 E THOMAS RD STE 130
PHOENIX, AZ 85016-0008
Phone number: 602-933-1813
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