| Doctor Name: | MRS. KRISTA MARIE NIELSEN |
| NPI Number: | 1023249893 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 57323284405 |
| Business Practice Address: | 1676 E. Mcmurray Blvd Cgrmc Urgent Care Casa Grande, AZ - 85222 |
| Business Phone Number: | 5203160688 |
| Business Fax Number: | |
| Mailing Address: | 1420 E Leland St, MESA |
| State: | AZ |
| Postal Code: | 852032021 |
| Phone Number: | 8017352805 |
| Fax Number: | |
| NPI Enumeration Date: | 07/28/2009 |
| NPI Last Update Date: | 07/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 57323284405 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |