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General NPI Number Information
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NPI Number | 1639310980
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Entity Type | Individual
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Provider Name | KRISTEN ANN FLEURY FNP
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Gender | Female
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Dates
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Enumeration Date | 03/17/2009
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 4742 E INDIAN SCHOOL RD
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City | PHOENIX
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State | AZ
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Zip | 85018-5496
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Country | US
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Telephone | 866-389-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 3126 S HALSTED DR
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City | CHANDLER
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State | AZ
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Zip | 85286-2395
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 248847
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN201317
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 200711791CNA
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License Number State | OR
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