Provider Demographics
NPI:1780248591
Name:NARAIN, CHRISTINA (APRN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:
Last Name:NARAIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 URSULA ST
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-1662
Mailing Address - Country:US
Mailing Address - Phone:352-323-4267
Mailing Address - Fax:
Practice Address - Street 1:550 E DIXIE AVE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-5925
Practice Address - Country:US
Practice Address - Phone:352-323-2273
Practice Address - Fax:352-323-2261
Is Sole Proprietor?:No
Enumeration Date:2019-04-26
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11002689363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN11002689OtherPROFESSIONAL LICENSE