Individual
KRISTINE ABIGAEL MALCOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10000 N 31ST AVE STE C100-138, PHOENIX, AZ 85051-1395
(602) 878-8868
Mailing address
22523 N 62ND AVE, GLENDALE, AZ 85310-4238
(602) 568-9556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
256758
AZ
Other
Enumeration date
04/16/2021
Last updated
01/10/2025
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