Individual
CHRISTINA MARIE VAN GENNEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-8941
(334) 793-8093
Mailing address
7027 HUGH DR, PANAMA CITY, FL 32404-8420
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
1-181102
AL
363LN0000X
Neonatal Nurse Practitioner
Primary
ARNP9262470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005969200
—
FL
01
—
Y0AU7
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/29/2012
Last updated
08/09/2025
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