Provider Demographics
NPI:1235892571
Name:HANDERMANN, CHRISTINA RENEE (ACNP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:RENEE
Last Name:HANDERMANN
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MEDICAL CENTER DR STE 290
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-2595
Mailing Address - Country:US
Mailing Address - Phone:513-857-3301
Mailing Address - Fax:
Practice Address - Street 1:200 MEDICAL CENTER DR STE 290
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45005-2595
Practice Address - Country:US
Practice Address - Phone:513-857-3301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0029866363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care