Healthcare Provider Details

I. General information

NPI: 1821319872
Provider Name (Legal Business Name): CHRISTINA SUMMERS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2010
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8913 N 19TH AVE
PHOENIX AZ
85021-4206
US

IV. Provider business mailing address

102 WOODMONT BLVD STE 600
NASHVILLE TN
37205-5250
US

V. Phone/Fax

Practice location:
  • Phone: 602-858-4361
  • Fax: 480-906-2176
Mailing address:
  • Phone: 615-706-8357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP3921
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: