Individual
MISS CHRISTIAN RENEE EVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
130 MAIN ST APT 1, LEICESTER, NY 14481-9998
(585) 943-1552
Mailing address
130 MAIN ST APT 1, LEICESTER, NY 14481-9998
(585) 943-1552
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2768441
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02656348
—
NY
Enumeration date
07/17/2007
Last updated
07/17/2007
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