Krystine Amber Breedlove
Nurse Practitioner (Acute Care)

Address: 39114 N 21st Ave, Phoenix, AZ 85086-0611
Phone: 4803354101

Krystine Amber Breedlove (NPI# 1376146910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1376146910
Entity Type Individual
Full Name Krystine Amber Breedlove
Credential ACNPC-AG
Gender Female
Practice Address 39114 N 21st Ave
AZ 85086-0611
Practice Telephone 4803354101
Mailing Address 39114 N 21st Ave
AZ 85086-0611
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-11-17
Last Update Date 2020-11-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LA2100X Nurse Practitioner · Acute Care Physician Assistants & Advanced Practice Nursing Providers 249005 AZ

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1841890969 Kristen Cox Nurse Practitioner 35714 N 34th Ln, Phoenix, AZ 85086-2264 2020-10-28
1760097570 Justin Thomas Partlow Nurse Practitioner 3124 E Bloomfield Rd, Phoenix, AZ 85032-7109 2020-09-09
1295352334 Adrian Emil Stamp Nurse Practitioner 12641 N 19th St, Phoenix, AZ 85022-5735 2020-07-04
1093332082 Marissa Katherine Chase Nurse Practitioner 340 E Palm Ln # A175, Phoenix, AZ 85004-4603 2020-06-25
1033739081 Anthony Populo Nurse Practitioner 1700 W Whitton Ave, Phoenix, AZ 85015-5533 2020-04-20
1710446786 Rosa Maria Ruiz Nurse Practitioner 10317 W Campbell Ave, Phoenix, AZ 85037-5530 2019-03-18
1205394947 Maryann Smith Nurse Practitioner 2327 W Dewdrop Trl, Phoenix, AZ 85085-0719 2019-03-12
1952868309 Emily B Cova Nurse Practitioner 1331 N 7th St Ste 405, Phoenix, AZ 85006-2754 2019-02-21
1376027144 Ejiro Ojameruaye Nurse Practitioner 19636 N 27th Ave Ste 202, Phoenix, AZ 85027-4018 2018-09-18
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Office Location

Street Address 39114 N 21ST AVE
State AZ
Zip Code 85086-0611

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760097703 Cindy Ryanto Pharmacist 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 2020-09-15
1912559857 Cathey Michelle Allen Massage Therapist 39006 N 11th Ave, Phoenix, AZ 85086 2019-07-11
1174000871 Anthem Eye Group Pllc Optometrist 4205 W Anthem Way #101, Anthem, AZ 85086 2018-07-25
1366982449 Angela Ann Childs Registered Nurse 42104 N Venture Dr Ste D118, Anthem, AZ 85086 2017-03-08
1144772054 Joe Bezerra Specialist 39818 N Bell Meadow Trl, Phoenix, AZ 85086 2016-10-26
1669821252 Arizona Procedural Center Clinic/Center 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 2016-06-06
1124499280 Shane Carr Physical Therapist 39716 N 7th St, Phoenix, AZ 85086 2015-10-15
1790174167 Kelly Christine Collins Dermatology 42211 N 41st Dr. #a109, Phoenix, AZ 85086 2015-01-22
1174953913 Sung Ae Lee Radiology 820 W. Ravina Lane, Anthem, AZ 85086 2013-11-14
1881034080 Bryan Michael Hays Dentist 40411 N Capra Way, Anthem, AZ 85086 2013-07-02
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Zip Code 85086

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.