MEDICARE: MISS KRISTINA I KRIEGER NP

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
1	363LF0000X	Family Nurse Practitioner	209.008586	IL
2	363LF0000X	Family Nurse Practitioner	C-APN.0103883-C-NP	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356490320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS KRISTINA I KRIEGER NP

Provider Business Mailing Address
First Line	:	8444 N 90TH ST STE 100
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-4437
Country	:	US
Telephone Number	:	602-248-8886
Fax Number	:	602-854-0504

Provider Business Practice Location Address
First Line	:	7205 W COLFAX AVE STE 101D
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80214-5408
Country	:	US
Telephone Number	:	720-685-6250
Fax Number	:	720-512-2141

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	05/20/2025

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