Provider Demographics
NPI:1851642573
Name:VLADEANU-ION, CRISTINA LILIANA (FNP)
Entity type:Individual
Prefix:MRS
First Name:CRISTINA
Middle Name:LILIANA
Last Name:VLADEANU-ION
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 E BLARD ST
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-1821
Mailing Address - Country:US
Mailing Address - Phone:310-953-1991
Mailing Address - Fax:310-953-1991
Practice Address - Street 1:123 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-5121
Practice Address - Country:US
Practice Address - Phone:562-726-1383
Practice Address - Fax:562-726-1385
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20232363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily