Individual
MRS. KRISTINE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
11611 S FOOTHILLS BLVD STE F, YUMA, AZ 85367-5845
(928) 247-9277
Mailing address
11611 S FOOTHILLS BLVD STE F, YUMA, AZ 85367-5845
(928) 247-2275
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
255977
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
255977
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159894
—
AZ
Enumeration date
05/16/2022
Last updated
01/16/2025
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