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Individual

CHRISTINA MARIA EAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
2000 SW ARCHER RD, GAINESVILLE, FL 32608-1136
(352) 265-0139
Mailing address
1600 SW ARCHER ROAD BOX 100277, GAINESVILLE, FL 32610-0001

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3390642
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100913900
FL
Enumeration date
05/23/2018
Last updated
10/30/2018
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