Provider Demographics
NPI:1376831198
Name:NORIEGA, CRISTINA SOLEDAD (CNA/MA)
Entity Type:Individual
Prefix:MS
First Name:CRISTINA
Middle Name:SOLEDAD
Last Name:NORIEGA
Suffix:
Gender:F
Credentials:CNA/MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 ROXBURY LN
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-6033
Mailing Address - Country:US
Mailing Address - Phone:678-850-1912
Mailing Address - Fax:
Practice Address - Street 1:69 ROXBURY LN
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-6033
Practice Address - Country:US
Practice Address - Phone:678-850-1912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1022-9777376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide