Provider Demographics
NPI:1073984639
Name:TRETTER, CHRISTINA A (NP-C)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:A
Last Name:TRETTER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1327 E CHANDLER BLVD
Mailing Address - Street 2:STE 106
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-6289
Mailing Address - Country:US
Mailing Address - Phone:480-501-9475
Mailing Address - Fax:480-306-7674
Practice Address - Street 1:1327 E CHANDLER BLVD
Practice Address - Street 2:STE 106
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-6289
Practice Address - Country:US
Practice Address - Phone:480-501-9475
Practice Address - Fax:480-306-7674
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT3783380208VP0014X
AZTAP8161363LA2200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health