Provider Demographics
NPI:1598194433
Name:MESOLELLA, CHRISTIANNE (ARNP)
Entity Type:Individual
Prefix:
First Name:CHRISTIANNE
Middle Name:
Last Name:MESOLELLA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 S LAWRENCE BLVD
Mailing Address - Street 2:
Mailing Address - City:KEYSTONE HEIGHTS
Mailing Address - State:FL
Mailing Address - Zip Code:32656-9222
Mailing Address - Country:US
Mailing Address - Phone:352-562-7927
Mailing Address - Fax:352-234-1791
Practice Address - Street 1:445 S LAWRENCE BLVD
Practice Address - Street 2:
Practice Address - City:KEYSTONE HEIGHTS
Practice Address - State:FL
Practice Address - Zip Code:32656-9222
Practice Address - Country:US
Practice Address - Phone:352-562-7927
Practice Address - Fax:352-234-1791
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9187878363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics