Individual
CRISTINA MURPHY VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3220
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07201
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780118943
—
NC
01
—
19Q5S
BCBSNC
NC
05
—
2916PA
—
SC
01
—
4883504
AETNA
—
01
—
NCX490A
MEDICARE-NC
NC
Enumeration date
04/14/2017
Last updated
09/19/2017
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