Provider Demographics
NPI:1588802888
Name:DECREASE, CHRISTINE HELEN (RN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:HELEN
Last Name:DECREASE
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 1:61 KELLOGG ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-2721
Mailing Address - Country:US
Mailing Address - Phone:814-323-2111
Mailing Address - Fax:
Practice Address - Street 1:61 KELLOGG ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-2721
Practice Address - Country:US
Practice Address - Phone:814-323-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATLRN028632163W00000X
WARN00148572163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse