Individual
KRISTA IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6411 N ROBERT RD RM 416, PRESCOTT VALLEY, AZ 86314-9146
(928) 759-4042
(928) 759-4030
Mailing address
6411 N ROBERT RD RM 416, PRESCOTT VALLEY, AZ 86314-9146
(928) 759-4042
(928) 759-4030
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN16389
AZ
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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