Provider Demographics
NPI:1912189341
Name:PEREZ, CHRISTINE MARIE (BSN PHN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:MARIE
Last Name:PEREZ
Suffix:
Gender:F
Credentials:BSN PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 S K ST
Mailing Address - Street 2:PUBLIC HEALTH CENTER TULARE
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-6423
Mailing Address - Country:US
Mailing Address - Phone:559-687-6826
Mailing Address - Fax:559-685-3390
Practice Address - Street 1:1150 S K ST
Practice Address - Street 2:PUBLIC HEALTH CENTER TULARE
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-6423
Practice Address - Country:US
Practice Address - Phone:559-687-6826
Practice Address - Fax:559-685-3390
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN554019163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health