Basic Information
| Provider Information | |||||||||
| NPI: | 1699019026 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LUNA | ||||||||
| FirstName: | KRISTINE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1201 LEOPARD ST FL 6 | ||||||||
| Address2: | |||||||||
| City: | CORPUS CHRISTI | ||||||||
| State: | TX | ||||||||
| PostalCode: | 784012120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3618263333 | ||||||||
| FaxNumber: | 3618263334 | ||||||||
| Practice Location | |||||||||
| Address1: | 1201 LEOPARD ST FL 6 | ||||||||
| Address2: | |||||||||
| City: | CORPUS CHRISTI | ||||||||
| State: | TX | ||||||||
| PostalCode: | 784012120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3618263333 | ||||||||
| FaxNumber: | 3618263334 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/26/2012 | ||||||||
| LastUpdateDate: | 07/14/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364SF0001X | 769789 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Family Health |
ID Information
| ID | Type | State | Issuer | Description | 769789 | 01 | TX | TEXAS BOARD OF NURSING | OTHER |