Healthcare Provider Details

I. General information

NPI: 1144347170
Provider Name (Legal Business Name): CHRISTINA ORSOLINI MSN,APRN,BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 05/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 MORTHLAND DR
VALPARAISO IN
46383-8329
US

IV. Provider business mailing address

756A RAVINIA DR W
VALPARAISO IN
46385-8695
US

V. Phone/Fax

Practice location:
  • Phone: 219-464-0020
  • Fax:
Mailing address:
  • Phone: 219-364-2606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71002363A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: