KRISTEN GRAHAM FNP-BC NPI 1588207138

NPI Information

NPI: 1588207138
Provider Name: KRISTEN GRAHAM, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
13575 W INDIAN SCHOOL RD STE 200
LITCHFIELD PARK, AZ
ZIP 85340
Phone: (623) 512-4310
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Kristen Graham, FNP-BC is a family nurse practitioner in Litchfield Park, AZ with 5 years of experience. Kristen Graham, FNP-BC NPI is 1588207138. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13575 W INDIAN SCHOOL RD STE 200
LITCHFIELD PARK, AZ
ZIP 85340-906
Phone: (623) 512-4310
Fax: (623) 512-4311

The NPI 1588207138 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2019 and was last updated on 5/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	363LF0000X	Nurse Practitioner	Family	235852	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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