Healthcare Provider Details

I. General information

NPI: 1154518397
Provider Name (Legal Business Name): CHRISTINE RENEE MULFORD FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE MCFARLANE FNP

II. Dates (important events)

Enumeration Date: 10/02/2007
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8733 E AVALON DR
SCOTTSDALE AZ
85251-4968
US

IV. Provider business mailing address

4222 E KIRKLAND RD
PHOENIX AZ
85050-8716
US

V. Phone/Fax

Practice location:
  • Phone: 757-870-8862
  • Fax:
Mailing address:
  • Phone: 757-870-8862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP7406
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: