Provider Demographics
NPI:1407000334
Name:MORALES, CHRISTINA R (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:R
Last Name:MORALES
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:LRMC, CMR 402
Mailing Address - Street 2:ATTN: MCEUL-DCCS (CREDENTIALS OFFICE)
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180-3460
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LRMC, CMR 402
Practice Address - Street 2:ATTN: MCEUL-DCCS (CREDENTIALS OFFICE)
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09180-3460
Practice Address - Country:US
Practice Address - Phone:4967-836-6365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX615811363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics