Provider Demographics
NPI:1598408437
Name:KRAVITZ, ARI NADAV (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:ARI
Middle Name:NADAV
Last Name:KRAVITZ
Suffix:
Gender:M
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 1:52 E MONTEREY WAY
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2628
Mailing Address - Country:US
Mailing Address - Phone:602-604-9500
Mailing Address - Fax:602-631-9303
Practice Address - Street 1:52 E MONTEREY WAY
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-2628
Practice Address - Country:US
Practice Address - Phone:513-616-1156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.485464163WG0000X
AZ274225363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRN.485464OtherRN LICENSE
F05220490OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
AZ274225OtherRN LICENSE