Provider Demographics
NPI:1649469990
Name:CYPRESS, CHRISTINA ELIZABETH (CNA/GNA/MT)
Entity type:Individual
Prefix:MR
First Name:CHRISTINA
Middle Name:ELIZABETH
Last Name:CYPRESS
Suffix:
Gender:F
Credentials:CNA/GNA/MT
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:ELIZABETH
Other - Last Name:CYPRESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA/GNA/MT
Mailing Address - Street 1:4320 SHAMROCK AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-6433
Mailing Address - Country:US
Mailing Address - Phone:410-261-9358
Mailing Address - Fax:
Practice Address - Street 1:4320 SHAMROCK AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-6433
Practice Address - Country:US
Practice Address - Phone:410-261-9358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00014755376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide