Provider Demographics
NPI:1033342167
Name:LOVEL, CHRISSY MARIE (LVN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISSY
Middle Name:MARIE
Last Name:LOVEL
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MRS
Other - First Name:CHRISSY
Other - Middle Name:MARIE
Other - Last Name:WEIDLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LVN
Mailing Address - Street 1:3115 COLLEGE PARK DRIVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384
Mailing Address - Country:US
Mailing Address - Phone:936-321-5030
Mailing Address - Fax:936-271-5033
Practice Address - Street 1:3115 COLLEGE PARK DRIVE
Practice Address - Street 2:SUITE 104
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384
Practice Address - Country:US
Practice Address - Phone:936-321-5030
Practice Address - Fax:936-271-5033
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX141890163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse