Provider Demographics
NPI:1568280840
Name:IONESCU, CRISTINA (NP)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:IONESCU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2167 VILLAGE PARK AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-4175
Mailing Address - Country:US
Mailing Address - Phone:208-733-5117
Mailing Address - Fax:
Practice Address - Street 1:2167 VILLAGE PARK AVE STE 300
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-4175
Practice Address - Country:US
Practice Address - Phone:208-733-5117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care