Provider Demographics
NPI:1831511658
Name:ECHEVARRIA, CHRISTINE VICTORIA (MSN RN CPNP-BC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:VICTORIA
Last Name:ECHEVARRIA
Suffix:
Gender:F
Credentials:MSN RN CPNP-BC
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:VICTORIA
Other - Last Name:JUARBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:47 RACE ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14207-1828
Mailing Address - Country:US
Mailing Address - Phone:716-578-0817
Mailing Address - Fax:
Practice Address - Street 1:2250 WEHRLE DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7034
Practice Address - Country:US
Practice Address - Phone:716-276-2123
Practice Address - Fax:716-276-2129
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2024-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY317378164W00000X
NY383692363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No164W00000XNursing Service ProvidersLicensed Practical Nurse