Healthcare Provider Details

I. General information

NPI: 1669880712
Provider Name (Legal Business Name): CHRISTINA BLAKE FNP, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINA BARBER

II. Dates (important events)

Enumeration Date: 07/31/2014
Last Update Date: 05/09/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EL RIO HEALTH 839 W CONGRESS ST
TUCSON AZ
85745
US

IV. Provider business mailing address

839 W CONGRESS ST
TUCSON AZ
85745-2819
US

V. Phone/Fax

Practice location:
  • Phone: 520-670-3909
  • Fax: 520-309-2560
Mailing address:
  • Phone: 520-670-3090
  • Fax: 520-309-2560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-41735
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number319183
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: