Provider Demographics
NPI:1629665849
Name:GURLEY, CHRISTINE A (APRN, AGNP-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:A
Last Name:GURLEY
Suffix:
Gender:F
Credentials:APRN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 ADENA TRCE
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1364
Mailing Address - Country:US
Mailing Address - Phone:330-322-5115
Mailing Address - Fax:
Practice Address - Street 1:273 ADENA TRCE
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-1364
Practice Address - Country:US
Practice Address - Phone:330-322-5115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH175360207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine