Provider Demographics
NPI:1699384487
Name:SANDERS, CHRISTINA A
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:A
Last Name:SANDERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 EXMOOR DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-3016
Mailing Address - Country:US
Mailing Address - Phone:513-235-0276
Mailing Address - Fax:
Practice Address - Street 1:770 EXMOOR DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-3016
Practice Address - Country:US
Practice Address - Phone:513-235-0276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2719875Medicaid