Healthcare Provider Details

I. General information

NPI: 1124498498
Provider Name (Legal Business Name): CHRISTINA INTERPRETER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2015
Last Update Date: 09/18/2020
Certification Date: 09/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10005 E OSBORN RD
SCOTTSDALE AZ
85256-4019
US

IV. Provider business mailing address

P.O. BOX 38
SACATON AZ
85147-0038
US

V. Phone/Fax

Practice location:
  • Phone: 480-362-7400
  • Fax: 480-362-5950
Mailing address:
  • Phone: 602-528-1200
  • Fax: 602-528-1255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP8033
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: