Individual
KRISTA BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 N MARTIN AVE, TUCSON, AZ 85721-0001
(520) 626-3808
Mailing address
1673 E PARK AVE, GILBERT, AZ 85234-6156
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN136958
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN136958
RN LICENSE
AZ
Enumeration date
08/18/2020
Last updated
08/18/2020
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