Organization
ELEV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN NICHOLE MARTH FNP-C (MANAGING MEMBER)
(623) 205-6473
Entity
Organization
Contact information
Practice address
3222 W BAJADA DR, PHOENIX, AZ 85083-5823
(623) 205-6473
Mailing address
3222 W BAJADA DR, PHOENIX, AZ 85083-5823
(623) 205-6473
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2026
Last updated
01/10/2026
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