Individual
CHRISTINA LANEE' KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1 ELIZABETH PL, WP 220, DAYTON, OH 45417-3445
(937) 813-6900
Mailing address
1 ELIZABETH PL, WP 220, DAYTON, OH 45417-3445
(937) 813-6900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
801498
TX
363LF0000X
Family Nurse Practitioner
Primary
COA.12318-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074737
—
OH
Enumeration date
06/15/2011
Last updated
03/13/2016
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