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General NPI Number Information
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NPI Number | 1750886107
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Entity Type | Individual
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Provider Name | KRISTY SHIRLA GINTZ AGNP
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Gender | Female
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 7620 N HARTMAN LN STE 180B
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City | TUCSON
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State | AZ
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Zip | 85743-7485
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Country | US
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Telephone | 520-614-6326
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Fax | 520-542-2911
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Provider Business Mailing Address
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Address Line | 7843 W SPINEY LIZARD PL
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City | TUCSON
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State | AZ
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Zip | 85735-5199
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP11132
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License Number State | AZ
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