Healthcare Provider Details

I. General information

NPI: 1396756326
Provider Name (Legal Business Name): CHRISTINE MARIE OLREE R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 07/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 JEFFERSON SAINT MARYS HEALTHCARE
GRAND RAPIDS MI
49301
US

IV. Provider business mailing address

549 ABBEY MILL DR SE
ADA MI
49301-7733
US

V. Phone/Fax

Practice location:
  • Phone: 616-685-6631
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SX0200X
TaxonomyOncology Clinical Nurse Specialist
License Number1673836
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: