IndividualActive
Christina Denetso-Bahe, REGISTERED NURSE
NPI 1619686516 · Wound Care Registered Nurse · Fort Defiance, AZ
Provider details
- NPI number
- 1619686516
- Entity type
- Individual
- Primary specialty
- Wound Care Registered NurseNursing Service Providers
- Credential
- REGISTERED NURSE
- Sex
- Female
- Sole proprietor
- No
- License
- RN162458 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
Corner of Navajo Route 12 and Navajo Route 7
Fort Defiance, AZ 86504
Phone: (928) 729-8000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 649
Fort Defiance, AZ 86504-0649
Registry dates
- Enumerated
- 2022-11-18
- Last updated
- 2022-11-18
- Certified
- 2022-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.