Healthcare Provider Details

I. General information

NPI: 1366358509
Provider Name (Legal Business Name): CHRISTINA RAINES LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 HARDING ST
DEFIANCE OH
43512
US

IV. Provider business mailing address

8555 ZION CHURCH RD
ELIDA OH
45807-9443
US

V. Phone/Fax

Practice location:
  • Phone: 844-534-3638
  • Fax:
Mailing address:
  • Phone: 419-203-3234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number99039
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: