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NPI Code Detail

MEDICARE: MS. CHRISTINE LIND COLELLA MSN, CNP

MEDICARE: MS. CHRISTINE LIND COLELLA MSN, CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerNP05781OH
2363LA2200XAdult Health Nurse Practitioner71002175AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215157292
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINE LIND COLELLA MSN, CNP
Provider Business Mailing Address
First Line : 1401 STEFFEN AVE
Second Line : LINCOLN HEIGHTS HEALTH CENTER
City : CINCINNATI
State : OH
Zip : 45215-2338
Country : US
Telephone Number : 513-588-3623
Fax Number : 513-554-4115
Provider Business Practice Location Address
First Line : 1401 STEFFEN AVE
Second Line : LINCOLN HEIGHTS HEALTH CENTER
City : CINCINNATI
State : OH
Zip : 45215-2338
Country : US
Telephone Number : 513-588-3623
Fax Number : 513-554-4115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 02/09/2015

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