Healthcare Provider Details

I. General information

NPI: 1932803855
Provider Name (Legal Business Name): CHRISTI NANCE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11707 E SPRAGUE AVE STE LL101
SPOKANE VALLEY WA
99206-6110
US

IV. Provider business mailing address

4282 W LISA LANE
SAN TAN VALLEY AZ
85144
US

V. Phone/Fax

Practice location:
  • Phone: 509-992-4069
  • Fax:
Mailing address:
  • Phone: 425-359-8925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number240065
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP61567176
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60000854
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: