Provider Demographics
NPI:1679889067
Name:MILLS, CHRISTINA MARIE (MSN, RN, CNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIE
Last Name:MILLS
Suffix:
Gender:F
Credentials:MSN, RN, CNP
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARIE
Other - Last Name:HOSKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2040 DOWNING ST SW
Mailing Address - Street 2:
Mailing Address - City:EAST SPARTA
Mailing Address - State:OH
Mailing Address - Zip Code:44626-9735
Mailing Address - Country:US
Mailing Address - Phone:330-866-2296
Mailing Address - Fax:
Practice Address - Street 1:1455 HARRISON AVE NW
Practice Address - Street 2:SUITE 105
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-2621
Practice Address - Country:US
Practice Address - Phone:330-453-9993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH11613-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health