Healthcare Provider Details

I. General information

NPI: 1437336005
Provider Name (Legal Business Name): CHRISTINA R LALIBERTE REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2008
Last Update Date: 01/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 SW ARCHER RD
GAINESVILLE FL
32608-1135
US

IV. Provider business mailing address

18401 69TH DR
MC ALPIN FL
32062-2702
US

V. Phone/Fax

Practice location:
  • Phone: 352-379-4140
  • Fax:
Mailing address:
  • Phone: 386-963-5245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD1100X
TaxonomyPeritoneal Dialysis Registered Nurse
License NumberRN 2785272
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: