Individual
CHRISTINE D. FONGHEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
900 LAWRENCE DR, WEST CHESTER, PA 19380-3415
(610) 696-8090
(610) 696-8300
Mailing address
615 BROOKHILL RD, WEST CHESTER, PA 19380-1090
(610) 692-4824
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN225368L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101164486 0001
—
PA
Enumeration date
11/06/2007
Last updated
11/06/2007
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