Provider Demographics
NPI:1124211446
Name:CASANOVA, CHRISTIANA SIPPER (APRN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIANA
Middle Name:SIPPER
Last Name:CASANOVA
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1773 GRANDE PARK DR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-2301
Mailing Address - Country:US
Mailing Address - Phone:941-468-4924
Mailing Address - Fax:
Practice Address - Street 1:601 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-3976
Practice Address - Country:US
Practice Address - Phone:941-280-0499
Practice Address - Fax:941-340-0601
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2872212363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health