Individual provider · Type 1 NPI
Kristina Denise Bardwell, AGACNP
Acute Care Nurse Practitioner · Mesa, AZ
NPI number
1508210659
Active
Practice location
1520 S Dobson Rd Ste 209
Mesa, AZ 85202-4753
Mailing address
6402 E Superstition Springs Blvd Ste 224
Mesa, AZ 85206-4394
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN117405 (AZ) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | AP8468 (AZ) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1508210659
Kristina Denise Bardwell, AGACNP's National Provider Identifier is 1508210659, issued on Apr 14, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Mesa, AZ. The record was last updated on Nov 18, 2016.