MEDICARE: MRS. CHRISTIE RENEE PINOLINI MSN,APN,FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	26NO12364600	NJ
2	363LF0000X	Family Nurse Practitioner	26NJ00401000	NJ
3	363LF0000X	Family Nurse Practitioner	ARNP9348740	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578814596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTIE RENEE PINOLINI MSN,APN,FNP-BC

Provider Business Mailing Address
First Line	:	2903 SW BUTTERFLY LN
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-8217
Country	:	US
Telephone Number	:	609-513-3818
Fax Number	:

Provider Business Practice Location Address
First Line	:	2903 SW BUTTERFLY LN
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-8217
Country	:	US
Telephone Number	:	609-513-3818
Fax Number	:	772-324-8083

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2012
Last Update Date	:	07/21/2022

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