Healthcare Provider Details

I. General information

NPI: 1023773744
Provider Name (Legal Business Name): ALEXA NICOLE KRAFCZIK DNP, ACNP-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 03/21/2026
Certification Date: 03/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10210 N 92ND ST STE 300
SCOTTSDALE AZ
85258-4525
US

IV. Provider business mailing address

10210 N 92ND ST STE 300
SCOTTSDALE AZ
85258-4525
US

V. Phone/Fax

Practice location:
  • Phone: 480-882-7750
  • Fax: 480-882-5838
Mailing address:
  • Phone: 480-882-7750
  • Fax: 480-882-5838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number272641
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number272641
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN184086
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: