Provider Demographics
NPI:1699414367
Name:EROYAN, CHRISTINA N
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:N
Last Name:EROYAN
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 1:3614 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48082-2952
Mailing Address - Country:US
Mailing Address - Phone:248-921-5519
Mailing Address - Fax:
Practice Address - Street 1:3614 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48082-2952
Practice Address - Country:US
Practice Address - Phone:248-921-5519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program