Individual
PATRICK KINSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
3124 W DANNIELLE DR, FLAGSTAFF, AZ 86001-3916
(205) 915-3725
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN175590
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
304087
AZ
Other
Enumeration date
12/26/2023
Last updated
02/12/2025
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