Individual
CHRISTINA ELIZABETH FRATANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
4805 NE GLISAN ST STE 6N50, PORTLAND, OR 97213-2933
(503) 215-3053
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
201706294NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
SP012109
PA
Other
Enumeration date
05/15/2012
Last updated
10/06/2020
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