Provider Demographics
NPI:1841219722
Name:HAMPE, CRISTINE (RN)
Entity Type:Individual
Prefix:
First Name:CRISTINE
Middle Name:
Last Name:HAMPE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6145 HOLLYDALE AVE NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44721-3319
Mailing Address - Country:US
Mailing Address - Phone:330-244-9546
Mailing Address - Fax:
Practice Address - Street 1:6145 HOLLYDALE AVE NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44721-3319
Practice Address - Country:US
Practice Address - Phone:330-244-9546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH118989164W00000X
OH332972163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse