Individual
KRISTA A LUSSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
17300 N PERIMETER DR STE 220, SCOTTSDALE, AZ 85255-6703
(480) 661-2661
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
(602) 222-1900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3229
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433588
—
AZ
01
—
P00763100
RAILROAD MEDICARE
AZ
Enumeration date
02/10/2009
Last updated
12/09/2025
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