Provider Demographics
NPI:1497525455
Name:BIANCHINE, CHRISTINE (LPN)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:BIANCHINE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:WENRICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1325 FAIRFAX AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-1967
Mailing Address - Country:US
Mailing Address - Phone:716-578-8829
Mailing Address - Fax:
Practice Address - Street 1:400 FOREST AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14213-1207
Practice Address - Country:US
Practice Address - Phone:716-883-9334
Practice Address - Fax:716-883-4625
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338713164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse