Provider Demographics
NPI:1114936226
Name:HALL, CHRISTINE E
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:E
Last Name:HALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:ELAINE
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNP
Mailing Address - Street 1:2500 CORPORATE EXCHANGE DR STE 100
Mailing Address - Street 2:AMERICAN HEALTH NETWORK OF OHIO PC
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-7601
Mailing Address - Country:US
Mailing Address - Phone:614-602-4600
Mailing Address - Fax:614-602-4601
Practice Address - Street 1:6790 PERIMETER DR STE 200
Practice Address - Street 2:AMERICAN HEALTH NETWORK OF OHIO PC
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8068
Practice Address - Country:US
Practice Address - Phone:614-602-4600
Practice Address - Fax:614-602-4601
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.07412-NS363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0096314Medicaid
OH0096314Medicaid
OHH246331Medicare PIN