Provider Demographics
NPI:1891023883
Name:JOSEPH, CHRISTINE CRAFT (RN, RNFA)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:CRAFT
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:RN, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 CALLE FRUTAS
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-7002
Mailing Address - Country:US
Mailing Address - Phone:949-350-4603
Mailing Address - Fax:
Practice Address - Street 1:22 CALLE FRUTAS
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-7002
Practice Address - Country:US
Practice Address - Phone:949-350-4603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-02
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA443399163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant