Healthcare Provider Details

I. General information

NPI: 1104731918
Provider Name (Legal Business Name): CHRISTINE CAMERIERI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6079 MIDDLE RIDGE RD
MADISON OH
44057-2805
US

IV. Provider business mailing address

5614 FORD RD
MADISON OH
44057-9596
US

V. Phone/Fax

Practice location:
  • Phone: 440-428-1196
  • Fax:
Mailing address:
  • Phone: 440-521-2421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number495443
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: