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Individual

MS. DEANNA JANE KRISTOFIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
Mailing address
4680 ABLE AVE, KANAB, UT 84741-8161
(928) 640-7914

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP4267
AZ

Other

Enumeration date
04/19/2011
Last updated
01/26/2012
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