Individual
MS. CHRISTA L O'MARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7701 W ASPERA BLVD, GLENDALE, AZ 85308-7947
(623) 248-2108
Mailing address
2500 W UTOPIA RD STE 100, PHOENIX, AZ 85027-4172
(623) 683-4462
(480) 882-5814
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP11351
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
449194
—
AZ
Enumeration date
12/06/2006
Last updated
12/05/2024
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