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General NPI Number Information
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NPI Number | 1265989909
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Entity Type | Individual
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Provider Name | KELLY WALSH APRN-CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/09/2016
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 4301 N 75TH ST STE 202
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3538
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Country | US
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Telephone | 623-432-9908
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Fax |
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Provider Business Mailing Address
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Address Line | 4301 N 75TH ST STE 202
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3538
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Country | US
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Telephone |
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.387195
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 277836
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN767139
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.024376
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP027057
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License Number State | PA
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