Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristen Graham, FNP-BC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588207138

Kristen Graham, FNP-BC is a Nurse Practitioner in Litchfield Park, Arizona. Qualified in 2019, 7 years ago. Practices with Alta Dermatology Group Ltd, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Litchfield Park, AZ
Fax: (623) 512-4311

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 6922 W Kristal Way, Glendale, AZ 85308-5772 — (602) 291-2612

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 235852 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588207138
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedOctober 25, 2019
Last updated in NPPESMay 10, 2023
Certification dateMay 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Alta Dermatology Group Ltd — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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