IndividualActive
Chris Idaris, CPNP-AC
NPI 1104527290 · Critical Care Pediatric Nurse Practitioner · St Petersburg, FL
Provider details
- NPI number
- 1104527290
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-AC
- Sex
- Male
- Sole proprietor
- No
- License
- 11025159 (FL)
Mailing address
2728 Dade Ave Apt 2523
Orlando, FL 32804-4708
Registry dates
- Enumerated
- 2023-03-15
- Last updated
- 2023-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.