Christina Marie Denetso-Bahe, REGISTERED NURSE

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

RN162458 Issued in AZ

Practice address

Corner of Navajo Route 12 and Navajo Route 7
Fort Defiance, AZ 86504

Phone

(928) 729-8000

NPI assigned

Nov 18, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1619686516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649",
            "telephone_number": "928-729-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF NAVAJO ROUTE 12 AND NAVAJO ROUTE 7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENETSO-BAHE",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "AZ",
            "license": "RN162458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Deal
• Barbara Lisa Defirmian, MD
• Paul Raymond Del Bianco, MD
• Juan Carlos Del Rio Roure, M.D.
• Madeline Delgado Torres, RN
• Joseph Scot Denhalter, CRNA
• Estar Ruth Denny
• Beverly Ann Descheenie, BSW
• Pierre Gladner Desrosiers, DPM
• Jaskern Dhami, DPM

• Wound Care Registered Nurse in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Wound Care Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.