Individual
KRISTINA DIANE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10153 E KILAREA AVE, MESA, AZ 85209-1262
(480) 745-5334
Mailing address
10153 E KILAREA AVE, MESA, AZ 85209-1262
(480) 745-5334
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
276254
AZ
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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