Individual
MRS. CHRISTINA MARYEE CECIL CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP PMHNP
Contact information
Practice address
9605 SANDIFUR PKWY, PASCO, WA 99301-8028
(509) 942-3170
(509) 543-9795
Mailing address
3900 S ZINTEL WAY, KENNEWICK, WA 99338
(509) 942-3170
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60068135
WA
363L00000X
Nurse Practitioner
AP60399130
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60399130
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265872980
—
WA
Enumeration date
06/26/2013
Last updated
09/24/2013
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