Provider Demographics
NPI:1588713952
Name:KRAFT, ALICE ELIZABETH (FNP-C)
Entity type:Individual
Prefix:MS
First Name:ALICE
Middle Name:ELIZABETH
Last Name:KRAFT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6509 N 13TH DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-1062
Mailing Address - Country:US
Mailing Address - Phone:602-973-1010
Mailing Address - Fax:
Practice Address - Street 1:1002 E MCDOWELL RD # 120
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2625
Practice Address - Country:US
Practice Address - Phone:602-256-2273
Practice Address - Fax:602-258-5618
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZNP 572363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily