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General NPI Number Information
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NPI Number | 1508320706
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Entity Type | Individual
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Provider Name | KERSTIN ANNETTE MCELVAIN CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/22/2019
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 3442 US HWY 431
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City | ALBERTVILLE
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State | AL
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Zip | 35950
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Country | US
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Telephone | 256-580-7660
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Fax | 256-580-7670
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Provider Business Mailing Address
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Address Line | 1510 E WAGON WHEEL LN STE 110
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City | FORT MOHAVE
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State | AZ
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Zip | 86426-6698
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Country | US
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Telephone | 928-788-3333
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Fax | 928-788-3555
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 220904
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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 | 11006756
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 220904
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License Number State | AZ
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