MEDICARE: DR. CHRISTINA MEGAN URIBE NITTI DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R1404252	MN

General Provider Information

NPI Number	:	1144376062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA MEGAN URIBE NITTI DNP

Provider Business Mailing Address
First Line	:	700 TERRACE HTS # 81
Second Line	:
City	:	WINONA
State	:	MN
Zip	:	55987-1399
Country	:	US
Telephone Number	:	507-457-1492
Fax Number	:	507-457-6920

Provider Business Practice Location Address
First Line	:	700 TERRACE HTS # 81
Second Line	:
City	:	WINONA
State	:	MN
Zip	:	55987-1320
Country	:	US
Telephone Number	:	507-457-1492
Fax Number	:	507-457-6920

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	08/18/2020

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