Provider Demographics
NPI:1740452838
Name:CALFEE, CRISTINA LYNN (FNP-C)
Entity type:Individual
Prefix:MS
First Name:CRISTINA
Middle Name:LYNN
Last Name:CALFEE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CRISSY
Other - Middle Name:LYNN
Other - Last Name:CALFEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:9520 W PALM LN
Mailing Address - Street 2:STE 200
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-4403
Mailing Address - Country:US
Mailing Address - Phone:480-988-9108
Mailing Address - Fax:480-813-4460
Practice Address - Street 1:3126 S HIGLEY RD STE 109
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-2030
Practice Address - Country:US
Practice Address - Phone:480-436-8102
Practice Address - Fax:480-209-1974
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3029363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ536573Medicaid