Provider Demographics
NPI:1740028851
Name:BERUMEN, MARIA CRISTINA (RN)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CRISTINA
Last Name:BERUMEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:CRISTINA
Other - Last Name:TRUJILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17442 W GAMBIT TRL
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85387-1137
Mailing Address - Country:US
Mailing Address - Phone:602-478-5019
Mailing Address - Fax:
Practice Address - Street 1:17442 W GAMBIT TRL
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85387-1137
Practice Address - Country:US
Practice Address - Phone:602-478-5019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ254890163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse