MEDICARE: CHRISTINA MANKIN MSN, FNP-BC

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	14206085-4405	UT

General Provider Information

NPI Number	:	1821803693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA MANKIN MSN, FNP-BC

Provider Business Mailing Address
First Line	:	3742 E RINGTAIL WAY
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85050-5006
Country	:	US
Telephone Number	:	602-510-3203
Fax Number	:

Provider Business Practice Location Address
First Line	:	3742 E RINGTAIL WAY
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85050-5006
Country	:	US
Telephone Number	:	602-510-3203
Fax Number	:

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

Provider Enumeration Date	:	02/10/2025
Last Update Date	:	03/01/2025

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