Provider Demographics
NPI:1326235888
Name:CHRISTIAN, NORMA M (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:NORMA
Middle Name:M
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
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Mailing Address - Street 1:2383 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-2907
Mailing Address - Country:US
Mailing Address - Phone:646-670-5130
Mailing Address - Fax:646-670-5121
Practice Address - Street 1:1628 EASTCHESTER RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2663
Practice Address - Country:US
Practice Address - Phone:646-670-5130
Practice Address - Fax:646-670-5121
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-28
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY304750363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health