Provider Demographics
NPI:1578151197
Name:CHRISTMARI CONSULTING LLC
Entity Type:Organization
Organization Name:CHRISTMARI CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANCEBO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-239-4273
Mailing Address - Street 1:3624 NW 36TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-4914
Mailing Address - Country:US
Mailing Address - Phone:786-239-4273
Mailing Address - Fax:
Practice Address - Street 1:3624 NW 36TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-4914
Practice Address - Country:US
Practice Address - Phone:786-239-4273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-08
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No251B00000XAgenciesCase Management