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Individual

KRISTINA DIANE GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN,FNP-C

Contact information

Practice address
3623 CROSSINGS DR STE 206, PRESCOTT, AZ 86305-7101
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10062237
OR
363LF0000X
Family Nurse Practitioner
1243184
TX
363LF0000X
Family Nurse Practitioner
14295926-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
276254
AZ
363LF0000X
Family Nurse Practitioner
3-003173
AL
363LF0000X
Family Nurse Practitioner
90332
NM
363LF0000X
Family Nurse Practitioner
APRN-6002
HI
363LF0000X
Family Nurse Practitioner
APRN11048730
FL
363LF0000X
Family Nurse Practitioner
C-APN.0107080-C-NP
CO

Other

Enumeration date
06/15/2022
Last updated
07/23/2026
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