Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | MD38681 | TN |
N | 207PP0204X | Pediatric Emergency Physician | MD38681 | TN |
Y | 2080P0204X | Pediatric Emergency Doctor | 38681 | TN |
NPI | 1770670804 |
---|---|
Provider Name | Dr. Cristina Maria Estrada |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I09402 | (02) | |
Q000821 | (05) | TN |