Individual
KRISTIE GRAYHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 302-5402
(928) 302-5906
Mailing address
2590 CARIBBEAN DR, LAKE HAVASU CITY, AZ 86406-6940
(801) 352-9500
(801) 352-7976
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN153267
AZ
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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