| Doctor Name: | MS. DEANNA JANE KRISTOFIC |
| NPI Number: | 1013207489 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP |
| License Number: | AP4267 |
| Business Practice Address: | 167 North Main Street Tuba City, AZ - 860450600 |
| Business Phone Number: | 9282832501 |
| Business Fax Number: | |
| Mailing Address: | 4680 Able Ave, KANAB |
| State: | UT |
| Postal Code: | 847418161 |
| Phone Number: | 9286407914 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2011 |
| NPI Last Update Date: | 01/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | AP4267 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |