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NPI Code Detail

MEDICARE: CHRISTIN CORRALES NURSE PRACTITIONER

MEDICARE:   CHRISTIN  CORRALES  NURSE PRACTITIONER
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
1363L00000XNurse PractitionerF07201926AZ
2363LF0000XFamily Nurse Practitioner250078AZ

General Provider Information

NPI Number : 1427632066
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIN CORRALES NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 2850 N COUNTRY CLUB RD
Second Line :
City : TUCSON
State : AZ
Zip : 85716-1910
Country : US
Telephone Number : 520-322-6274
Fax Number : 520-509-4496
Provider Business Practice Location Address
First Line : 1601 N TUCSON BLVD STE 15
Second Line :
City : TUCSON
State : AZ
Zip : 85716-3406
Country : US
Telephone Number : 520-488-4808
Fax Number : 520-476-3625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2021
Last Update Date : 06/02/2025

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Directions to “ CHRISTIN CORRALES NURSE PRACTITIONER” Practice Location

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