Healthcare Provider Details

I. General information

NPI: 1184439093
Provider Name (Legal Business Name): CHRISTINA ELIZABETH PRESUTTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2025
Last Update Date: 02/08/2025
Certification Date: 02/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 45TH ST
WEST PALM BEACH FL
33407-2047
US

IV. Provider business mailing address

6223 FOSTER ST
JUPITER FL
33458-6621
US

V. Phone/Fax

Practice location:
  • Phone: 561-881-2613
  • Fax:
Mailing address:
  • Phone: 412-508-3931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number9651064
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: