Healthcare Provider Details

I. General information

NPI: 1780908723
Provider Name (Legal Business Name): CHRISTINE ELIZABETH NYAKO CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE ELIZABETH ROWLANDS RN

II. Dates (important events)

Enumeration Date: 03/19/2010
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11369 MARKET ST
NORTH LIMA OH
44452-9782
US

IV. Provider business mailing address

6004 FRONTIER DR
POLAND OH
44514-1871
US

V. Phone/Fax

Practice location:
  • Phone: 330-965-9999
  • Fax: 234-759-3971
Mailing address:
  • Phone: 402-881-7803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9304704
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP017515
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0037482
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: