Provider Demographics
NPI:1083934335
Name:DOWNS, CHRIS COLLEEN
Entity Type:Individual
Prefix:MS
First Name:CHRIS
Middle Name:COLLEEN
Last Name:DOWNS
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:CHRIS
Other - Middle Name:COLLEEN
Other - Last Name:MUNRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2202 BAUTISTA AVE
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-1639
Mailing Address - Country:US
Mailing Address - Phone:760-805-8153
Mailing Address - Fax:
Practice Address - Street 1:2202 BAUTISTA AVE
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084-1639
Practice Address - Country:US
Practice Address - Phone:760-805-8153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN246474164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse