Provider Demographics
NPI:1578814596
Name:PINOLINI, CHRISTIE RENEE (MSN,APN,FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:RENEE
Last Name:PINOLINI
Suffix:
Gender:F
Credentials:MSN,APN,FNP-BC
Other - Prefix:MISS
Other - First Name:CHRISTIE
Other - Middle Name:RENEE
Other - Last Name:WOMBOUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2903 SW BUTTERFLY LN
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-8217
Mailing Address - Country:US
Mailing Address - Phone:609-513-3818
Mailing Address - Fax:
Practice Address - Street 1:2903 SW BUTTERFLY LN
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-8217
Practice Address - Country:US
Practice Address - Phone:609-513-3818
Practice Address - Fax:772-324-8083
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO12364600163W00000X
NJ26NJ00401000363LF0000X
FLARNP9348740363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse