Provider Demographics
NPI:1720724586
Name:NEIRA-WESTON, CRISTINA ELENA
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:ELENA
Last Name:NEIRA-WESTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1413 8TH ST
Mailing Address - Street 2:
Mailing Address - City:ROCK ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61201-3464
Mailing Address - Country:US
Mailing Address - Phone:928-303-8245
Mailing Address - Fax:
Practice Address - Street 1:1413 8TH ST
Practice Address - Street 2:
Practice Address - City:ROCK ISLAND
Practice Address - State:IL
Practice Address - Zip Code:61201-3464
Practice Address - Country:US
Practice Address - Phone:928-303-8245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)