Provider Demographics
NPI:1720213218
Name:CHRISTIE, VERONICA LYNN (RN)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:LYNN
Last Name:CHRISTIE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:VERONICA
Other - Middle Name:LYNN
Other - Last Name:WOLF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2028 E GORE RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16510-3894
Mailing Address - Country:US
Mailing Address - Phone:814-824-4788
Mailing Address - Fax:
Practice Address - Street 1:135 E 38TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16504-1559
Practice Address - Country:US
Practice Address - Phone:814-868-8661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN291891L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse