Provider Demographics
NPI:1346341286
Name:PAQUIN, CHRISTINE THERESA (DNP, PMHCNS-BC, RN)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:THERESA
Last Name:PAQUIN
Suffix:
Gender:F
Credentials:DNP, PMHCNS-BC, RN
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:PAQUIN
Other - Last Name:KURTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,DNP,PMHCNS-BC, RN
Mailing Address - Street 1:350 INDIAN BOUNDARY RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304
Mailing Address - Country:US
Mailing Address - Phone:219-929-5367
Mailing Address - Fax:219-929-5514
Practice Address - Street 1:350 INDIAN BOUNDARY RD
Practice Address - Street 2:
Practice Address - City:CHESTERTON
Practice Address - State:IN
Practice Address - Zip Code:46304
Practice Address - Country:US
Practice Address - Phone:219-929-5367
Practice Address - Fax:219-929-5514
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN70000187A364SP0808X
IN70000187364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health