Provider Demographics
NPI:1326461369
Name:KOPINGON, CHRISTINA (ARNP, FNP-BC, CNM)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:KOPINGON
Suffix:
Gender:F
Credentials:ARNP, FNP-BC, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 SE 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7632
Mailing Address - Country:US
Mailing Address - Phone:561-738-9761
Mailing Address - Fax:
Practice Address - Street 1:101 SE 27TH AVE
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7632
Practice Address - Country:US
Practice Address - Phone:561-738-9761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-28
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9250171363LF0000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily