Individual
MS. CHRISTINA BOOTH EDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
34800 BOB WILSON DR NAVAL MEDICAL CENTER SAN DIEGO, SAN DIEGO, CA 92134-0001
(619) 532-7082
(619) 532-6587
Mailing address
955 HARBOR VIEW DR, SAN DIEGO, CA 92106-2437
(619) 518-0756
(619) 524-6191
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
26NJ0061300
NJ
363LW0102X
Women's Health Nurse Practitioner
NP 15499
CA
367A00000X
Advanced Practice Midwife
Primary
1996
CA
367A00000X
Advanced Practice Midwife
25ME00060800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15499
NP WITH FURNISHING
CA
01
—
1996
CNM LICENSE
CA
01
—
25ME00060800
CNM
NJ
01
—
25ME00060801
CNM W/PRESCRIPTIVE AUTHORITY
NJ
01
—
26NJ0061300
ADVANCED PRACTICE NURSE
NJ
01
—
26NR18421700
RN NJ
NJ
01
—
645813
RN CA
CA
01
—
NP 15499
NP LICENSE
CA
01
—
RN 645813
RN LICENSE
CA
Enumeration date
02/02/2006
Last updated
04/08/2021
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