Healthcare Provider Details

I. General information

NPI: 1144783952
Provider Name (Legal Business Name): ANDREA MARIE KESSLER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2019
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5115 N DYSART RD STE 202-613
LITCHFIELD PARK AZ
85340-3032
US

IV. Provider business mailing address

5115 N DYSART RD STE 202-613
LITCHFIELD PARK AZ
85340-3032
US

V. Phone/Fax

Practice location:
  • Phone: 602-888-2344
  • Fax:
Mailing address:
  • Phone: 602-510-8628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number224665
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: