Provider Demographics
NPI:1376221754
Name:LOVE, CHRISTIE MAY
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:MAY
Last Name:LOVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6546 E KERCKHOFF AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-3660
Mailing Address - Country:US
Mailing Address - Phone:559-367-4875
Mailing Address - Fax:
Practice Address - Street 1:2201 CALAVERAS ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-1103
Practice Address - Country:US
Practice Address - Phone:559-367-4875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula