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NPI Code Detail

MEDICARE: MISS CHRISTINE LEE STINNER RN,BSN

MEDICARE: MISS CHRISTINE LEE STINNER RN,BSN
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
1163WC0400XCase Management Registered Nurse26NO12083500NJ

General Provider Information

NPI Number : 1912974759
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CHRISTINE LEE STINNER RN,BSN
Provider Business Mailing Address
First Line : PO BOX 1195
Second Line :
City : OCEAN GATE
State : NJ
Zip : 08740-1195
Country : US
Telephone Number : 732-606-9116
Fax Number :
Provider Business Practice Location Address
First Line : 5250 NEW JERSEY AVE
Second Line :
City : FORT DIX
State : NJ
Zip : 08640-5017
Country : US
Telephone Number : 609-562-5075
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 07/08/2007

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