Individual
KRISTEN PEDDYCORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5330 S HIGHWAY 95, FORT MOHAVE, AZ 86426-9225
(928) 788-2273
Mailing address
3735 HWAY 95, BULLHEAD CITY, AZ 86442-8199
(928) 444-1444
(928) 444-1445
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP11814
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP11814
AZ
Other
Enumeration date
09/18/2018
Last updated
03/28/2025
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