Individual
KRISTEN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
13575 W INDIAN SCHOOL RD STE 200, LITCHFIELD PARK, AZ 85340-4906
(623) 512-4310
(623) 512-4311
Mailing address
6922 W KRISTAL WAY, GLENDALE, AZ 85308-5772
(602) 291-2612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
235852
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/25/2019
Last updated
05/10/2023
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