Healthcare Provider Details

I. General information

NPI: 1740452838
Provider Name (Legal Business Name): CRISTINA LYNN CALFEE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CRISSY LYNN CALFEE FNP

II. Dates (important events)

Enumeration Date: 03/28/2008
Last Update Date: 02/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3126 S HIGLEY RD STE 109
GILBERT AZ
85295-2030
US

IV. Provider business mailing address

9520 W PALM LN STE 200
PHOENIX AZ
85037-4403
US

V. Phone/Fax

Practice location:
  • Phone: 480-436-8102
  • Fax: 480-209-1974
Mailing address:
  • Phone: 480-988-9108
  • Fax: 480-813-4460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP3029
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: