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Individual
SCOTT ALAN KRISTIE
Active
Individual
SCOTT ALAN KRISTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
232406
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704401205
MI
372600000X
Adult Companion
—
—
Other
Enumeration date
08/24/2010
Last updated
10/18/2024
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