Provider Demographics
NPI:1518841659
Name:MATHURIN, CHRISTA NANDRA (FNP STUDENT)
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:NANDRA
Last Name:MATHURIN
Suffix:
Gender:F
Credentials:FNP STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 KARA CT
Mailing Address - Street 2:
Mailing Address - City:RINEYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40162-9429
Mailing Address - Country:US
Mailing Address - Phone:804-399-0968
Mailing Address - Fax:
Practice Address - Street 1:40 KARA CT
Practice Address - Street 2:
Practice Address - City:RINEYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40162-9429
Practice Address - Country:US
Practice Address - Phone:804-399-0968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program