Individual
CHRISTINE DAWN RAKESMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN CNP BC-G
Contact information
Practice address
1715 INDIAN WOOD CIR, SUITE 200 OFFICE 265 AND 266, MAUMEE, OH 43537-4055
(419) 578-8594
Mailing address
PO BOX 1239, TROY, MI 48099-1239
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.07389-NP
OH
363LG0600X
Gerontology Nurse Practitioner
NP07389
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2415621
—
OH
Enumeration date
10/05/2006
Last updated
03/07/2023
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