Provider Demographics
NPI:1477941276
Name:DUNCAN, CHRISTINA R (LPN PED PRIM NURSE)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:R
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:LPN PED PRIM NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5041 WORCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:OH
Mailing Address - Zip Code:45431-1137
Mailing Address - Country:US
Mailing Address - Phone:937-479-0640
Mailing Address - Fax:
Practice Address - Street 1:5041 WORCHESTER DR
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:OH
Practice Address - Zip Code:45431-1137
Practice Address - Country:US
Practice Address - Phone:937-479-0640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-31
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-103300101YP1600X, 164W00000X, 251B00000X, 273Y00000X, 276400000X, 302R00000X, 311Z00000X, 3140N1450X, 385HR2065X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No164W00000XNursing Service ProvidersLicensed Practical Nurse
No251B00000XAgenciesCase Management
No273Y00000XHospital UnitsRehabilitation Unit
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program