Provider Demographics
NPI:1043542962
Name:ALGREN, CHRIS L (RN)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:L
Last Name:ALGREN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5050 HAHN AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-1805
Mailing Address - Country:US
Mailing Address - Phone:937-864-1502
Mailing Address - Fax:
Practice Address - Street 1:5050 HAHN AVE
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-1805
Practice Address - Country:US
Practice Address - Phone:937-864-1502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.350309-163W00000X
OHRN.350309163WW0000X
OHPN.128876-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No164W00000XNursing Service ProvidersLicensed Practical Nurse