Individual
KRISTINA MICHELLE SPOONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
5207 E DELTA AVE, MESA, AZ 85206-2214
(928) 300-9379
Mailing address
5207 E DELTA AVE, MESA, AZ 85206-2214
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
310751
AZ
363LG0600X
Gerontology Nurse Practitioner
310751
AZ
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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