Deanna Jane Kristofic, PMHNP
Nurse Practitioner, Psych/Mental Health in Tuba City, AZ. Individual provider (NPI-1).
NPI number1013207489
StatusActive
Last updated in NPPESJan 26, 2012
Details
- NPI
- 1013207489
- Entity type
- Individual (NPI-1)
- Name
- Ms. Deanna Jane Kristofic
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2011
- Last updated
- Jan 26, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | AP4267 | AZ | Yes |
Other names
- Deanna Jane Thompson (Former Name)
Practice location
167 North Main StreetTuba City, AZ 86045-0600
Phone 928-283-2501
Mailing address
4680 Able AveKanab, UT 84741-8161
Phone 928-640-7914
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