Provider Demographics
NPI:1316227127
Name:WILLE, CHRISTINE M (RN, MS, ANP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:WILLE
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Gender:F
Credentials:RN, MS, ANP
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Mailing Address - Street 1:601 ELMWOOD AVE BOX MED
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-784-9861
Mailing Address - Fax:585-427-8424
Practice Address - Street 1:46 PRINCE ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1023
Practice Address - Country:US
Practice Address - Phone:585-530-2050
Practice Address - Fax:585-530-2398
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2023-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY305700363LA2200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health