MEDICARE: MRS. CONSTANCE PIERCE KESSLER FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN066026	AZ
2	363LF0000X	Family Nurse Practitioner	RN066026	AZ

General Provider Information

NPI Number	:	1659359594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CONSTANCE PIERCE KESSLER FNP

Provider Business Mailing Address
First Line	:	12054 S 44TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-2433
Country	:	US
Telephone Number	:	480-598-9010
Fax Number	:

Provider Business Practice Location Address
First Line	:	8117 E ROOSEVELT ST
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-3818
Country	:	US
Telephone Number	:	480-941-9283
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/31/2005
Last Update Date	:	09/11/2025

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