Individual
MS. KRISTINA N. LACOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4220 W BETHANY HOME RD, PHOENIX, AZ 85019-1808
(623) 281-1258
(623) 281-1260
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(615) 314-5257
(615) 692-0547
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN143461
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP9804
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NONE
—
Enumeration date
02/15/2017
Last updated
12/01/2022
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