Provider Demographics
NPI:1932739026
Name:MEZGER, CHRISTY L (APRN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:L
Last Name:MEZGER
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 1:455 9TH ST
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-3685
Mailing Address - Country:US
Mailing Address - Phone:407-902-7844
Mailing Address - Fax:321-593-4035
Practice Address - Street 1:455 9TH ST
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-3685
Practice Address - Country:US
Practice Address - Phone:407-902-7844
Practice Address - Fax:321-593-4035
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-17
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11005241363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty