Provider Demographics
NPI:1386315661
Name:VERA, CHRISTINA (RET)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:VERA
Suffix:
Gender:F
Credentials:RET
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5120 E MARK LN
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-3391
Mailing Address - Country:US
Mailing Address - Phone:480-268-0477
Mailing Address - Fax:
Practice Address - Street 1:5120 E MARK LN
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-3391
Practice Address - Country:US
Practice Address - Phone:480-268-0477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-25
Last Update Date:2021-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist
No235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist