Provider Demographics
NPI:1619984978
Name:CHENEWORTH, CHRISTINE CECILIA (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:CECILIA
Last Name:CHENEWORTH
Suffix:
Gender:F
Credentials:FNP-C
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 E. KEARSLEY STREET
Mailing Address - Street 2:UNIVERSITY OF MICHIGAN- FLINT - URBAN HEALTH & WELLNESS
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48502-1950
Mailing Address - Country:US
Mailing Address - Phone:810-424-5269
Mailing Address - Fax:810-424-5288
Practice Address - Street 1:303 E KEARSLEY STREET
Practice Address - Street 2:UNIVERSITY OF MICHIGAN- FLINT URBAN HEALTH & WELLNESS
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48502-1950
Practice Address - Country:US
Practice Address - Phone:810-424-5269
Practice Address - Fax:810-424-5288
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704134679363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health