KRISTIN HERTZOG
NPI 1992638167
Nurse Practitioner - Family in Phoenix, AZ
Active since June 05, 2026
About Kristin Hertzog NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN HERTZOG (NPI 1992638167) is an individual family provider in Phoenix, Arizona, licensed in Arizona (340487) and active in the NPI registry since June 2026.
NPPES Registry Identity
NPI1992638167
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTIN HERTZOG
Location Address3300 W CAMELBACK RDPhoenix, AZ 85017-1097
Mailing Address1579 E Broken Bow WayOro Valley, AZ 85755-9307 · (520) 877-1787
Phone(855) 428-5673
Sole ProprietorNo
Enumeration DateJune 5, 2026
NPPES CertifiedJune 5, 2026
✔ NPI 1992638167 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 340487
3300 W CAMELBACK RD, Phoenix, AZ 85017
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Specialist/Technologist (Athletic Trainer)
3300 W CAMELBACK RD
PHOENIX, AZ 85017
PHOENIX, AZ 85017
Specialist/Technologist (Athletic Trainer)
3300 W CAMELBACK RD
PHOENIX, AZ 85017
PHOENIX, AZ 85017
Clinic/Center (Student Health)
3300 W CAMELBACK RD, CANYON HEALTH & WELLNESS CLINIC
PHOENIX, AZ 85017
PHOENIX, AZ 85017
Specialist/Technologist (Athletic Trainer)
3300 W CAMELBACK RD
PHOENIX, AZ 85017
PHOENIX, AZ 85017
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992638167, enumerated as an "individual" on June 05, 2026.
The provider is located at 3300 W CAMELBACK RD PHOENIX, AZ 85017 and the phone number is (855) 428-5673.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
