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NPI Code Detail

MEDICARE: MISS CHRISTINA DIANE AHRENS ARNP

MEDICARE: MISS CHRISTINA DIANE AHRENS ARNP
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
1363LF0000XFamily Nurse PractitionerARNP9232008FL

General Provider Information

NPI Number : 1457473746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CHRISTINA DIANE AHRENS ARNP
Provider Business Mailing Address
First Line : 3200 3RD ST S
Second Line : SUITE 200
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-6056
Country : US
Telephone Number : 904-249-6110
Fax Number : 904-249-6119
Provider Business Practice Location Address
First Line : 3200 3RD ST S
Second Line : SUITE 200
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-6056
Country : US
Telephone Number : 904-249-6110
Fax Number : 904-249-6119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 07/08/2007

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