Doctor Name: | KRISTINA VALENTINO |
NPI Number: | 1154708089 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 103749 |
Business Practice Address: | 400 N Eastern Ave Moore, OK - 731605833 |
Business Phone Number: | 4057577818 |
Business Fax Number: | 8886736461 |
Mailing Address: | Po Box 891625, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731891625 |
Phone Number: | 4057577818 |
Fax Number: | 8886736461 |
NPI Enumeration Date: | 04/29/2015 |
NPI Last Update Date: | 12/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 103749 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |