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NPI Code Detail

MEDICARE: CHRISTINE CECILIA CHENEWORTH FNP-C

MEDICARE: CHRISTINE CECILIA CHENEWORTH FNP-C
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 Practitioner4704134679MI

General Provider Information

NPI Number : 1619984978
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE CECILIA CHENEWORTH FNP-C
Provider Business Mailing Address
First Line : 303 E. KEARSLEY STREET
Second Line : UNIVERSITY OF MICHIGAN- FLINT - URBAN HEALTH & WELLNESS
City : FLINT
State : MI
Zip : 48502-1950
Country : US
Telephone Number : 810-424-5269
Fax Number : 810-424-5288
Provider Business Practice Location Address
First Line : 303 E KEARSLEY STREET
Second Line : UNIVERSITY OF MICHIGAN- FLINT URBAN HEALTH & WELLNESS
City : FLINT
State : MI
Zip : 48502-1950
Country : US
Telephone Number : 810-424-5269
Fax Number : 810-424-5288
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 05/11/2015

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Directions to “ CHRISTINE CECILIA CHENEWORTH FNP-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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