| Doctor Name: | MS. KRISTA MARIE SIMONETTI |
| NPI Number: | 1043524689 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CNS |
| License Number: | CNS-16014 |
| Business Practice Address: | 540 N Camino Mercado Suite 3 Casa Grande, AZ - 851225751 |
| Business Phone Number: | 5208404026 |
| Business Fax Number: | |
| Mailing Address: | 15801 S 48th St, Apt 2212 PHOENIX |
| State: | AZ |
| Postal Code: | 850480807 |
| Phone Number: | 4802046006 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2010 |
| NPI Last Update Date: | 12/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | CNS-16014 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |