Provider Demographics
NPI:1033473947
Name:ROHAN, CHRISTINE THERESE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:THERESE
Last Name:ROHAN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ORCHARD HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1334
Mailing Address - Country:US
Mailing Address - Phone:845-787-4096
Mailing Address - Fax:
Practice Address - Street 1:8 ORCHARD HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-1334
Practice Address - Country:US
Practice Address - Phone:845-787-4096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335180363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily