| Doctor Name: | KIRSTEN DOMINIQUE HART RENTFROW |
| NPI Number: | 1134523624 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | AP7353 |
| Business Practice Address: | 13395 N Marana Main St Marana, AZ - 856537008 |
| Business Phone Number: | 5206824111 |
| Business Fax Number: | 5206823817 |
| Mailing Address: | Po Box 188, MARANA |
| State: | AZ |
| Postal Code: | 856530188 |
| Phone Number: | 5206824111 |
| Fax Number: | 5208183630 |
| NPI Enumeration Date: | 10/13/2014 |
| NPI Last Update Date: | 08/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | AP7353 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |