Provider Demographics
NPI:1639886328
Name:KRIZE, CHRISTINA ISABELE (CPM, LM)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ISABELE
Last Name:KRIZE
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10318 E RADIANT AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85212-8100
Mailing Address - Country:US
Mailing Address - Phone:480-455-7799
Mailing Address - Fax:480-691-3515
Practice Address - Street 1:10318 E RADIANT AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85212-8100
Practice Address - Country:US
Practice Address - Phone:480-455-7799
Practice Address - Fax:480-691-3515
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLM258176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife