MEDICARE: CHRISTABELLE CARABUENA DINGCONG AGACNP

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	363LA2100X	Acute Care Nurse Practitioner	4704352802	MI

General Provider Information

NPI Number	:	1306780622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTABELLE CARABUENA DINGCONG AGACNP

Provider Business Mailing Address
First Line	:	8056 CONTINENTAL AVE
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48089-1609
Country	:	US
Telephone Number	:	416-831-7388
Fax Number	:

Provider Business Practice Location Address
First Line	:	8056 CONTINENTAL AVE
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48089-1609
Country	:	US
Telephone Number	:	416-831-7388
Fax Number	:

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

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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