Individual
KIMBERLY ANN OSZUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
112 WEST PARK AVENUE, ASH FORK, AZ 86320
(928) 583-1000
Mailing address
1090 COMMERCE DR, PRESCOTT, AZ 86305-3700
(928) 583-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
275119
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152035
—
AZ
Enumeration date
05/24/2022
Last updated
07/30/2026
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