Provider Demographics
NPI:1598872384
Name:SEDNEY, CHRISTA (PMHNP)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:
Last Name:SEDNEY
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E DAKIN AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-5724
Mailing Address - Country:US
Mailing Address - Phone:321-233-9282
Mailing Address - Fax:321-233-9282
Practice Address - Street 1:100 E DAKIN AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-5724
Practice Address - Country:US
Practice Address - Phone:321-233-9282
Practice Address - Fax:321-233-9282
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9262322363LP0808X, 364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11656900OtherCAQH