Individual
KRISTI MARIE MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
19829 N 29TH AVENUE, PHOENIX, AZ 85027
(623) 879-6100
Mailing address
21314 N 74TH LN, GLENDALE, AZ 85308-9520
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP10839
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP10839
AZ
Other
Enumeration date
12/19/2017
Last updated
08/19/2022
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