Individual
KHRISTINE TADINA AVENDANIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15509 W BANFF LN, SURPRISE, AZ 85379-6234
(623) 606-6760
Mailing address
15509 W BANFF LN, SURPRISE, AZ 85379-6234
(623) 606-6760
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
332971
AZ
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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