Individual
MRS. CHRISTINA LOUISE LOVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3813 HAVEN AVE, RACINE, WI 53405-2325
(262) 939-2926
Mailing address
3813 HAVEN AVE, RACINE, WI 53405-2325
(262) 939-2926
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9984-33
WI
363LF0000X
Family Nurse Practitioner
Primary
9984
WI
Other
Enumeration date
03/26/2020
Last updated
02/05/2024
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