Provider Demographics
NPI:1164719431
Name:LEONE, MARIACRISTINA CHRYSIKOS (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:MARIACRISTINA
Middle Name:CHRYSIKOS
Last Name:LEONE
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1037 W AVENUE N
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-2002
Mailing Address - Country:US
Mailing Address - Phone:661-266-8400
Mailing Address - Fax:
Practice Address - Street 1:1037 W AVENUE N
Practice Address - Street 2:SUITE 202
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-2002
Practice Address - Country:US
Practice Address - Phone:661-266-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA496525363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics