Individual
MRS. LORRAINE DIANE KRITKAUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4650 WEST SWEETWATER AVE, GLENDALE, AZ 85304
(602) 347-2600
(602) 347-2709
Mailing address
4326 W CORRINE DR, GLENDALE, AZ 85304-2128
(602) 938-2834
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN042770
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
559114
—
AZ
Enumeration date
04/27/2007
Last updated
07/09/2007
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