Provider Demographics
NPI:1699019026
Name:LUNA, KRISTINE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:
Last Name:LUNA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 LEOPARD ST FL 6
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78401-2120
Mailing Address - Country:US
Mailing Address - Phone:361-826-3333
Mailing Address - Fax:361-826-3334
Practice Address - Street 1:1201 LEOPARD ST FL 6
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78401-2120
Practice Address - Country:US
Practice Address - Phone:361-826-3333
Practice Address - Fax:361-826-3334
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX769789364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX769789OtherTEXAS BOARD OF NURSING