Provider Demographics
NPI:1225582190
Name:CONTRERAS, CRISTINA CLARA (ARNP-FNP)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:CLARA
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:ARNP-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 NW 19TH TER APT 15
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-1526
Mailing Address - Country:US
Mailing Address - Phone:786-218-6509
Mailing Address - Fax:
Practice Address - Street 1:1525 NW 19TH TER APT 15
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1526
Practice Address - Country:US
Practice Address - Phone:786-218-6509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-09
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9332167363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily