Individual
CHRISTINA MATHEW MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
9337818
FL
363LN0000X
Neonatal Nurse Practitioner
Primary
1174899
TX
Other
Enumeration date
08/09/2024
Last updated
08/08/2026
Update your record
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