Provider Demographics
NPI:1427632066
Name:CORRALES, CHRISTIN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:
Last Name:CORRALES
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:CHRISTIN
Other - Middle Name:
Other - Last Name:MUNCHOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:2850 N COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-1910
Mailing Address - Country:US
Mailing Address - Phone:520-322-6274
Mailing Address - Fax:520-509-4496
Practice Address - Street 1:1601 N TUCSON BLVD STE 15
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-3406
Practice Address - Country:US
Practice Address - Phone:520-488-4808
Practice Address - Fax:520-476-3625
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZF07201926363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner