Most Relevant Information
Provider Data
| NPI Number: | 1003413113 |
| Provider Name: | CRISTINA LYNN KONIVER MSN, APRN, AGACNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 11008460 |
Most Important Dates
| Enumeration Date: | 10/02/2020 |
| Last Updated: | 10/02/2020 |
Provider Practice Location
1801 NW 9TH AVE
MIAMI
FL
331361101
Practice Location Phone/Fax
| Phone: | 3053555000 |
| Fax: | 3053555234 |
Provider Mailing Location
1801 NW 9TH AVE
MIAMI
FL
331361101
Provider Mailing Phone/Fax
| Phone: | 3053555000 |
| Fax: | 3053555234 |