Individual
CHRISTIAN PODACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
RN280762
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
2024089462
GA
363LA2200X
Adult Health Nurse Practitioner
ARNP.AP.70087582NP
WA
Other
Enumeration date
12/05/2022
Last updated
05/10/2026
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