Courtney Ann Keller in Peoria - Psychiatric/mental Health, Child & Adolescent
Courtney Ann Keller - NPI 1336307495
Courtney Ann Keller is a Psychiatric/mental Health, Child & Adolescent in Peoria, Arizona. Courtney Ann Keller practices all healthcare services and medical treatments related to Psychiatric/mental Health, Child & Adolescent. The NPI Number for Courtney Ann Keller is 1336307495. The last update date is 2020-10-28.
Courtney Ann Keller's current location address is 9165 W Thunderbird Rd Suite 201, Peoria, Arizona. You can contact this provider via phone number 6238768420 and fax number 6232852626. The mailing address for Courtney Ann Keller is 9165 W Thunderbird Rd Suite 201, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courtney Ann Keller |
|---|---|
| Address | 9165 W Thunderbird Rd Suite 201, Peoria, Arizona |
| Phone Number | 6238768420 |
| Fax Number | 6232852626 |
| Sole Proprietor | Y |
| Credentials | PMHNP |
NPI Number Detail
| NPI Number | 1336307495 |
|---|---|
| Provider Enumeration Date | 2008-05-27 |
| Last Updated Date | 2020-10-28 |
Provider Mailing Address Detail
| Address | 9165 W Thunderbird Rd Suite 201 |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853814847 |
| Phone Number | 6238768420 |
| Fax Number | 6232852626 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Child & Adolescent |
|---|---|
| Taxonomy | 364Sp0807X |
| Licence No | 46 |
|
Definition: A psychiatric clinical nurse specialist expert in caring for infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 54517 | ND | -- | |
| 979757 | AZ | -- | |
| PENDING | ND | TRICARE | |
| PENDING | ND | BCBS ND |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Courtney Ann Keller by the Centers for Medicare & Medicaid Services?
The Courtney Ann Keller has been assigned the NPI (National Provider Identifier) 1336307495 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Courtney Ann Keller located?
The Courtney Ann Keller is located at 9165 W Thunderbird Rd Suite 201, Peoria, AZ 853814847.
What is the Courtney Ann Keller's area of specialization and corresponding taxonomy classification?
The Courtney Ann Keller's specialty field is Psychiatric/mental Health, Child & Adolescent, and it falls under the taxonomy code 364Sp0807X, which categorizes healthcare providers based on their specialties.
When did Courtney Ann Keller receive its 1336307495 assignment?
The Courtney Ann Keller was assigned its 1336307495 on 2008-05-27, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Courtney Ann Keller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Courtney Ann Keller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-10-28.