Individual
CHRISTINA MICHELLE FERNBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
631 E STATE ST, GEORGETOWN, OH 45121-1437
(937) 378-6387
Mailing address
631 E STATE ST, GEORGETOWN, OH 45121-1437
(937) 378-6387
(937) 378-4253
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0028795
OH
Other
Enumeration date
04/30/2021
Last updated
12/06/2021
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