Individual
KRISTEN SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5975 W CHANDLER BLVD, CHANDLER, AZ 85226-3422
(480) 753-1826
Mailing address
5975 W CHANDLER BLVD, CHANDLER, AZ 85226-3422
(480) 753-1826
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RNP262967
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278204
BANNER
—
Enumeration date
09/14/2021
Last updated
01/26/2022
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