Healthcare Provider Details

I. General information

NPI: 1205058369
Provider Name (Legal Business Name): CHRISTINA M. SOLOMON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 LAKESIDE VLG COMMONS
CHICO CA
95928-3979
US

IV. Provider business mailing address

38 EDGEWATER CT
CHICO CA
95928-3930
US

V. Phone/Fax

Practice location:
  • Phone: 530-332-6816
  • Fax:
Mailing address:
  • Phone: 530-345-2961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number171461
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: