Doctor Name: | MISS ASHLEE ELIZABETH KRONGAARD |
NPI Number: | 1003140427 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | |
Business Practice Address: | 4280 N Oracle Rd Ste 100 Tucson, AZ - 857052101 |
Business Phone Number: | 1888381485 |
Business Fax Number: | |
Mailing Address: | 2879 E Presidio Rd, TUCSON |
State: | AZ |
Postal Code: | 857161539 |
Phone Number: | 5202511770 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2009 |
NPI Last Update Date: | 03/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |