Provider Demographics
NPI:1710587019
Name:ABARCA, KRISTIAN VICTORIA (DNP, FNP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIAN
Middle Name:VICTORIA
Last Name:ABARCA
Suffix:
Gender:F
Credentials:DNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2687 N JOE HINES RD
Mailing Address - Street 2:
Mailing Address - City:WILLCOX
Mailing Address - State:AZ
Mailing Address - Zip Code:85643-3001
Mailing Address - Country:US
Mailing Address - Phone:575-760-0709
Mailing Address - Fax:
Practice Address - Street 1:900 W SCOTT ST
Practice Address - Street 2:
Practice Address - City:WILLCOX
Practice Address - State:AZ
Practice Address - Zip Code:85643-1017
Practice Address - Country:US
Practice Address - Phone:520-384-4421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ231082363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily