Healthcare Provider Details

I. General information

NPI: 1134919715
Provider Name (Legal Business Name): CHRISTINA BRAND MORATAYA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14510 W SHUMWAY DR STE 201
SUN CITY WEST AZ
85375-5817
US

IV. Provider business mailing address

14551 W MARCUS DR
SURPRISE AZ
85374-4246
US

V. Phone/Fax

Practice location:
  • Phone: 623-878-2800
  • Fax:
Mailing address:
  • Phone: 336-847-3369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number5022121
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: