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Individual

CHRISTINE ENIA KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, PMHNP-BC

Contact information

Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
(440) 282-4779
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
(440) 282-4779

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0034558
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0040517
OH
Enumeration date
09/15/2023
Last updated
09/29/2025
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