Healthcare Provider Details

I. General information

NPI: 1669787461
Provider Name (Legal Business Name): WENDY LEE CHRISTY CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2010
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8240 NORTHCREEK DR STE 1400
CINCINNATI OH
45236-2379
US

IV. Provider business mailing address

8240 NORTHCREEK DR STE 1400
CINCINNATI OH
45236-2379
US

V. Phone/Fax

Practice location:
  • Phone: 513-792-4700
  • Fax: 513-346-1396
Mailing address:
  • Phone: 513-792-4700
  • Fax: 513-346-1396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP11628
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.285233
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: