Individual provider · Type 1 NPI

Chris Dimitrios Idaris, CPNP-AC

Critical Care Pediatric Nurse Practitioner · St. Petersburg, FL

NPI number 1104527290 Active

Practice location

501 6th Ave S
St. Petersburg, FL 33701-4634

Mailing address

2728 Dade Ave Apt 2523
Orlando, FL 32804-4708

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner Primary 363LP0222X11025159 (FL)

Critical Care Pediatric Nurse Practitioner: Definition to come...

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About NPI 1104527290

Chris Dimitrios Idaris, CPNP-AC's National Provider Identifier is 1104527290, issued on Mar 15, 2023. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in St. Petersburg, FL. The record was last updated on Mar 15, 2023.