Provider Demographics
NPI:1467847368
Name:ELDER CRISTIANO, SHARON (LM, CPM)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:ELDER CRISTIANO
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9543 TURKEY OAK BND
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-2740
Mailing Address - Country:US
Mailing Address - Phone:321-277-5059
Mailing Address - Fax:
Practice Address - Street 1:9543 TURKEY OAK BND
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-2740
Practice Address - Country:US
Practice Address - Phone:321-277-5059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLM308176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife