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NPI Code Detail

MEDICARE: KRYSTAN M VERNETTI FNP

MEDICARE: KRYSTAN M VERNETTI FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner296396AZ
2363LF0000XFamily Nurse PractitionerC-APN.0105381-C-NPCO

General Provider Information

NPI Number : 1205619830
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTAN M VERNETTI FNP
Provider Business Mailing Address
First Line : 7998 N PANAMINT DR
Second Line :
City : TUCSON
State : AZ
Zip : 85743-1184
Country : US
Telephone Number : 719-431-3627
Fax Number :
Provider Business Practice Location Address
First Line : 3601 S 6TH AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85723-0001
Country : US
Telephone Number : 520-792-1450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2023
Last Update Date : 12/08/2025

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Directions to “ KRYSTAN M VERNETTI FNP” Practice Location

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