Provider Demographics
NPI:1073398285
Name:LOCKE, CHRISTINA ANNA-KAYE (APRN)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ANNA-KAYE
Last Name:LOCKE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2881 NW 91ST AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-5070
Mailing Address - Country:US
Mailing Address - Phone:605-389-1050
Mailing Address - Fax:
Practice Address - Street 1:2881 NW 91ST AVE APT 102
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5070
Practice Address - Country:US
Practice Address - Phone:605-389-1050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11028299363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily