Provider Demographics
NPI:1033555644
Name:SALEM, CHRISTINE A (CNP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:A
Last Name:SALEM
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 HIGH ST STE B
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4093
Mailing Address - Country:US
Mailing Address - Phone:614-858-8922
Mailing Address - Fax:614-807-2373
Practice Address - Street 1:1000 HIGH ST STE B
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4093
Practice Address - Country:US
Practice Address - Phone:614-858-8922
Practice Address - Fax:614-807-2373
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-22
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH358718163W00000X
OHCOA.14672-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH262750Medicare PIN