Individual provider · Type 1 NPI

Kristen Peddycord, FNP-BC

Family Nurse Practitioner · Fort Mohave, AZ

NPI number 1144704933 Active

Practice location

5330 S Highway 95
Fort Mohave, AZ 86426-9225

Mailing address

3735 Hway 95
Bullhead City, AZ 86442-8199

Other practice locations

  • 3735 Highway 95, Bullhead City, AZ 86442-8199 · (928) 444-1444

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP11814 (AZ)
Family Nurse Practitioner Primary 363LF0000XAP11814 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1144704933

Kristen Peddycord, FNP-BC's National Provider Identifier is 1144704933, issued on Sep 18, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Mohave, AZ. The record was last updated on Mar 28, 2025.