Provider Demographics
NPI:1407090681
Name:FOX, CHRISTINA E (LPN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:E
Last Name:FOX
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11318 MOUNT OVERLOOK AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44104-2535
Mailing Address - Country:US
Mailing Address - Phone:216-315-3705
Mailing Address - Fax:
Practice Address - Street 1:11318 MOUNT OVERLOOK AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44104-2535
Practice Address - Country:US
Practice Address - Phone:216-315-3705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.128064164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse