Individual
GINA MARIE KRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2331 HUALAPAI MOUNTAIN RD STE C, KINGMAN, AZ 86401-6207
(928) 565-6655
(928) 565-6578
Mailing address
2331 HUALAPAI MOUNTAIN RD STE C, KINGMAN, AZ 86401-6207
(928) 565-6655
(928) 565-6578
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
306033
AZ
363LW0102X
Women's Health Nurse Practitioner
1014793
TX
Other
Enumeration date
10/28/2020
Last updated
08/22/2024
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