Healthcare Provider Details

I. General information

NPI: 1649636622
Provider Name (Legal Business Name): CHRISTINA MARIE ESPINOZA CNM, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2016
Last Update Date: 06/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 MLK JR WAY
TACOMA WA
98405
US

IV. Provider business mailing address

315 MLK JR WAY
TACOMA WA
98405
US

V. Phone/Fax

Practice location:
  • Phone: 206-499-3689
  • Fax:
Mailing address:
  • Phone: 206-499-3689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP60617867
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM2991
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: