Individual
MRS. KRISTINA DENISE BARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1520 S DOBSON RD STE 209, MESA, AZ 85202-4753
(480) 835-6100
Mailing address
6402 E SUPERSTITION SPRINGS BLVD STE 224, MESA, AZ 85206-4394
(480) 835-6100
(480) 461-4261
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP8468
AZ
363LA2100X
Acute Care Nurse Practitioner
RN117405
AZ
Other
Enumeration date
04/14/2016
Last updated
11/18/2016
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