Healthcare Provider Details

I. General information

NPI: 1841365418
Provider Name (Legal Business Name): CHRISTINE JOY SCHMITTHENNER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27290 WOODBURN HILL RD
MECHANICSVILLE MD
20659-4130
US

IV. Provider business mailing address

27290 WOODBURN HILL RD
MECHANICSVILLE MD
20659-4130
US

V. Phone/Fax

Practice location:
  • Phone: 301-472-4279
  • Fax:
Mailing address:
  • Phone: 301-472-4279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR132818
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: