Provider Demographics
NPI:1720287618
Name:LINARES, CHRISTINA M (ARPN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:M
Last Name:LINARES
Suffix:
Gender:F
Credentials:ARPN
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:M
Other - Last Name:GRAINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3300 S FISKE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-4306
Mailing Address - Country:US
Mailing Address - Phone:321-752-0944
Mailing Address - Fax:321-434-7590
Practice Address - Street 1:1130 HICKORY ST STE B
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-1973
Practice Address - Country:US
Practice Address - Phone:321-752-0944
Practice Address - Fax:321-951-7408
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9256765363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL016424000Medicaid
FLAG525XOtherMEDICARE