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Individual

MRS. SAMANTHA LYNNE KRAGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1270 E BROADWAY RD STE 103, TEMPE, AZ 85282-1516
(480) 780-0505
Mailing address
26221 N 45TH ST, PHOENIX, AZ 85050-8561
(407) 808-3332

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
266951
AZ

Other

Enumeration date
11/19/2021
Last updated
11/19/2021
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