Provider Demographics
NPI:1568584530
Name:VANBUREN, CHRISTY DENISE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:DENISE
Last Name:VANBUREN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 DR MARTIN LUTHER KING JR ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-1472
Mailing Address - Country:US
Mailing Address - Phone:727-210-5253
Mailing Address - Fax:
Practice Address - Street 1:500 DR MARTIN LUTHER KING JR ST N STE 303
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1470
Practice Address - Country:US
Practice Address - Phone:727-210-5253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9361325363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily