Provider Demographics
NPI:1942827241
Name:NAVARRO, CHRISTINA NOUANESYMANIVANH I (LVN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:NOUANESYMANIVANH
Last Name:NAVARRO
Suffix:I
Gender:F
Credentials:LVN
Other - Prefix:MS
Other - First Name:CHRISTINA
Other - Middle Name:NOUANESYMANIVANH
Other - Last Name:NAVARRO
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:CHRISTINA N NAVARRO
Mailing Address - Street 1:3123 E RIALTO AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-1603
Mailing Address - Country:US
Mailing Address - Phone:559-475-3048
Mailing Address - Fax:
Practice Address - Street 1:4441 E KINGS CANYON RD
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93702-3604
Practice Address - Country:US
Practice Address - Phone:150-327-6480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA703303164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse