Individual
MR. CHRISTOPHER RYAN SORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95014501
CA
363L00000X
Nurse Practitioner
ARNP9339943
FL
363LF0000X
Family Nurse Practitioner
APRN9339943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023032600
—
FL
01
—
A3F6Z
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/25/2017
Last updated
08/31/2020
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