Healthcare Provider Details

I. General information

NPI: 1467155754
Provider Name (Legal Business Name): YASMINE KRUNZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2023
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 N HUNT HWY STE 100
FLORENCE AZ
85132-6937
US

IV. Provider business mailing address

7301 E 2ND ST STE 210
SCOTTSDALE AZ
85251-5620
US

V. Phone/Fax

Practice location:
  • Phone: 480-534-4534
  • Fax: 480-882-5012
Mailing address:
  • Phone: 480-882-4890
  • Fax: 480-882-6801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number012187
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: