Provider Demographics
NPI:1376934240
Name:NIGHTINGALE, CHRISTINE MATTHEWS (MSN, FNP-BC, RN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:MATTHEWS
Last Name:NIGHTINGALE
Suffix:
Gender:F
Credentials:MSN, FNP-BC, RN
Other - Prefix:
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Mailing Address - Street 1:2700 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-2547
Mailing Address - Country:US
Mailing Address - Phone:914-607-5730
Mailing Address - Fax:914-457-1195
Practice Address - Street 1:73 MARKET ST
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-7616
Practice Address - Country:US
Practice Address - Phone:914-831-4160
Practice Address - Fax:914-831-4161
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-12
Last Update Date:2018-11-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY339416363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04980907Medicaid