Provider Demographics
NPI:1164143608
Name:CHRITE, ADRIANA LYNNE (RN)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:LYNNE
Last Name:CHRITE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6415 N LAZULITE PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-0700
Mailing Address - Country:US
Mailing Address - Phone:985-662-6305
Mailing Address - Fax:
Practice Address - Street 1:6415 N LAZULITE PL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-0700
Practice Address - Country:US
Practice Address - Phone:985-662-6305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ265007163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty