Individual
CHRISTY LEE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2500 N ROSE ST, FLAGSTAFF, AZ 86004-3659
(928) 213-6100
(928) 774-6152
Mailing address
4710 CAMINO DE LOS VIENTOS, FLAGSTAFF, AZ 86004-0901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP1985
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP1985
LICENSE
AZ
Enumeration date
02/28/2007
Last updated
10/22/2013
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