Provider Demographics
NPI:1700163656
Name:MESSINA, CRISTINA Y (WHNP)
Entity Type:Individual
Prefix:MS
First Name:CRISTINA
Middle Name:Y
Last Name:MESSINA
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:Y
Other - Last Name:MATSUMOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 N HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-3814
Mailing Address - Country:US
Mailing Address - Phone:630-978-2532
Mailing Address - Fax:630-978-2709
Practice Address - Street 1:400 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-3814
Practice Address - Country:US
Practice Address - Phone:630-978-2532
Practice Address - Fax:630-978-2709
Is Sole Proprietor?:No
Enumeration Date:2011-11-07
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.008899363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health