Peddycord, Kristen
Peddycord, Kristen is an sole proprietor health care provider with primary practice located at 5330 S Highway 95 , Fort Mohave AZ 86426-9225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Peddycord, Kristen can be contacted via phone (928) 788-2273.Contact Information
Primary practice address
5330 S Highway 95
Fort Mohave AZ 86426-9225
Phone: (928) 788-2273
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP11814 | Arizona |
Profile Details
NPI number | 1144704933 |
---|---|
LBN Legal business name | Peddycord, Kristen |
Credentials | FNP-BC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 18th, 2018 |
Last updated | Aug 28th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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