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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Nurse Practitioner · KINGMAN, AZ

Registration Details

NPI Number
1124746086
Provider Type
Individual
Gender
Female
NPI Issued
Aug 17, 2022 (3.6868383421619 yrs)
Last Updated
Feb 18, 2025
License
5021274 (NC)

Practice Information

Address
3269 N STOCKTON HILL RD
KINGMAN, AZ, 864093619
Browse AZ providers · Browse ZIP 86409
Phone
9287572101
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in KINGMAN, AZ

Name Credential NPI
MELISSA OGDEN FNP 1245439330
TONYA ALLEN I NP 1104254952
ANTHONY EDMOND ROWDEN NP 1801428172
RENAE LYNN SMITH FNP-C 1396528097
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.