Healthcare Provider Details

I. General information

NPI: 1518924463
Provider Name (Legal Business Name): CHRISTINA MARIE NALL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 US HIGHWAY 98 W
MIRAMAR BEACH FL
32550-7228
US

IV. Provider business mailing address

512 OAK AVE
NICEVILLE FL
32578-3311
US

V. Phone/Fax

Practice location:
  • Phone: 850-278-3364
  • Fax:
Mailing address:
  • Phone: 850-459-6688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP110066
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number667508
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberARNP2972462
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: