Healthcare Provider Details

I. General information

NPI: 1770150476
Provider Name (Legal Business Name): CHRISTINA SUMMERLIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2021
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3138 LIBRA LN
CINCINNATI OH
45251-2617
US

IV. Provider business mailing address

3138 LIBRA LN
CINCINNATI OH
45251-2617
US

V. Phone/Fax

Practice location:
  • Phone: 513-923-6486
  • Fax:
Mailing address:
  • Phone: 513-923-6486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN.458918
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: