Healthcare Provider Details

I. General information

NPI: 1356256333
Provider Name (Legal Business Name): KRISTEN JANET NAVA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42104 N VENTURE DR STE D118
ANTHEM AZ
85086-3837
US

IV. Provider business mailing address

4539 N 22ND ST # 7280
PHOENIX AZ
85016-4639
US

V. Phone/Fax

Practice location:
  • Phone: 623-505-6565
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number259698
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: