Ms. Deanna Jane Kristofic
Nurse Practitioner - Psychiatric/Mental Health
167 North Main Street
Tuba City
, Arizona 86045-0600
Ms. Deanna Jane Kristofic
Nurse Practitioner - Psychiatric/Mental Health
167 North Main Street
Tuba City
, Arizona 86045-0600
(928) 640-7914
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Ms. Deanna Jane Kristofic
- 4680 Able Ave
- Kanab, UT
- Zip : 84741-8161
- Phone : (928) 640-7914
Second Address
- Ms. Deanna Jane Kristofic
- 167 North Main Street
- Tuba City, AZ
- Zip : 86045-0600
- Phone : (928) 283-2501
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP4267 | AZ |
National Provider Identifier
| NPI | 1013207489 |
|---|---|
| Provider Name | Ms. Deanna Jane Kristofic |
| First Address | Kanab, UT 84741-8161 |
| Second Address | Tuba City, AZ 86045-0600 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2011 |
| Last Update Date | 26/01/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.