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General NPI Number Information
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NPI Number | 1013340264
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Entity Type | Individual
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Provider Name | EMMA LOUISE KELTGEN DNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/12/2013
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 6975 W GLENDALE AVE
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City | GLENDALE
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State | AZ
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Zip | 85303-2611
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Country | US
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Telephone | 602-243-7277
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Fax | 602-286-0808
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Provider Business Mailing Address
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Address Line | 3003 N CENTRAL AVE STE 1600
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City | PHOENIX
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State | AZ
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Zip | 85012-2908
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Country | US
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Telephone | 602-323-3345
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Fax | 602-323-3399
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP5141
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License Number State | AZ
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