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General NPI Number Information
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NPI Number | 1164876645
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Entity Type | Individual
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Provider Name | KRYSTAL GREESON
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Gender | Female
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Dates
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Enumeration Date | 04/20/2016
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 4254 W ORCHID LN
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City | CHANDLER
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State | AZ
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Zip | 85226-7246
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Country | US
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Telephone | 888-731-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 6601 W THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85033-5700
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Country | US
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Telephone | 602-243-7277
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 144466
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APN.0102154-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 875623
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 13858693-4405
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License Number State | UT
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-83212-021
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License Number State | KS
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP8796
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License Number State | AZ
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