Provider Demographics
NPI:1407191059
Name:YON, CHRISTINA RENNER (RN)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:RENNER
Last Name:YON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BALLYDRAIN RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4430
Mailing Address - Country:US
Mailing Address - Phone:508-479-1676
Mailing Address - Fax:
Practice Address - Street 1:6 BALLYDRAIN RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-4430
Practice Address - Country:US
Practice Address - Phone:508-479-1676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2269457163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse