Provider Demographics
NPI:1841613619
Name:MARKOVITZ, CHRISTINA LACHAE (FNP-BC, ENP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:LACHAE
Last Name:MARKOVITZ
Suffix:
Gender:F
Credentials:FNP-BC, ENP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 TROY HILL RD
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:OH
Mailing Address - Zip Code:43078-9642
Mailing Address - Country:US
Mailing Address - Phone:937-508-6290
Mailing Address - Fax:
Practice Address - Street 1:1023 FAIR RD
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-8947
Practice Address - Country:US
Practice Address - Phone:937-658-6216
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:No
Enumeration Date:2014-01-29
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP15608363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily