Healthcare Provider Details

I. General information

NPI: 1184239022
Provider Name (Legal Business Name): CHRISTEN MARIE CUDINA DNP,FNP-BC, RN, CEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2020
Last Update Date: 04/04/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 1ST AVE
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

125 REID AVE
BERGENFIELD NJ
07621-1925
US

V. Phone/Fax

Practice location:
  • Phone: 646-754-7451
  • Fax:
Mailing address:
  • Phone: 201-835-9749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number346558
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: