Provider Demographics
NPI:1740246610
Name:ORFIELD, CHRISTEEN M (APRN, NP)
Entity type:Individual
Prefix:
First Name:CHRISTEEN
Middle Name:M
Last Name:ORFIELD
Suffix:
Gender:F
Credentials:APRN, NP
Other - Prefix:
Other - First Name:CHRISTEEN
Other - Middle Name:M
Other - Last Name:ORFILED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1500 NW 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1051
Mailing Address - Country:US
Mailing Address - Phone:305-243-1020
Mailing Address - Fax:
Practice Address - Street 1:1500 NW 12TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1051
Practice Address - Country:US
Practice Address - Phone:305-243-1020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18100363L00000X
GARN181678363L00000X
CANP95004578363L00000X
FLARNP1585672363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA693608026BMedicaid
FL3017249-00Medicaid
SCNP1164Medicaid
SCNP1164Medicaid
SCSC23503922Medicare PIN
GA511I200102Medicare PIN
FLY5746Medicare ID - Type Unspecified