Provider Demographics
NPI:1821490749
Name:LOPP, CHRISTINA LE ANN (APRN,MSN,FNP,WHNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LE ANN
Last Name:LOPP
Suffix:
Gender:F
Credentials:APRN,MSN,FNP,WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 WESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BORDEN
Mailing Address - State:IN
Mailing Address - Zip Code:47106-8506
Mailing Address - Country:US
Mailing Address - Phone:502-572-6787
Mailing Address - Fax:
Practice Address - Street 1:1701 SPRING ST STE B
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-2930
Practice Address - Country:US
Practice Address - Phone:812-284-2273
Practice Address - Fax:812-284-2279
Is Sole Proprietor?:No
Enumeration Date:2014-09-23
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3009178363LF0000X
IN71005132A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK191491Medicare PIN
IN264050005Medicare PIN