Provider Demographics
NPI:1528316494
Name:BALDENEGRO, CHRISTINA MARGARITA (RN/CSFA)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MARGARITA
Last Name:BALDENEGRO
Suffix:
Gender:F
Credentials:RN/CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2487 S GILBERT RD STE 106-125
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-2804
Mailing Address - Country:US
Mailing Address - Phone:480-695-8139
Mailing Address - Fax:480-219-5202
Practice Address - Street 1:2487 S GILBERT RD STE 106-125
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-2804
Practice Address - Country:US
Practice Address - Phone:480-695-8139
Practice Address - Fax:480-219-5202
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-26
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246ZC0007X
AZ254511163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant