Individual
KRYSTAL LYNN CAREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1402 E NARDINI ST, SAN TAN VALLEY, AZ 85140-6822
(480) 868-7193
Mailing address
1402 E NARDINI ST, SAN TAN VALLEY, AZ 85140-6822
(480) 868-7193
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06211318
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261065
STATE BOARD OF NURSING
AZ
01
—
F06211318
AANP
AZ
Enumeration date
09/03/2021
Last updated
03/07/2023
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