Provider Demographics
NPI:1841758075
Name:JOSE, CHRISTINE ANDRES (RN, BSN, CNOR, RNFA)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANDRES
Last Name:JOSE
Suffix:
Gender:F
Credentials:RN, BSN, CNOR, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5341 ASPEN ST
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-7676
Mailing Address - Country:US
Mailing Address - Phone:650-483-9072
Mailing Address - Fax:
Practice Address - Street 1:5341 ASPEN ST
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-7676
Practice Address - Country:US
Practice Address - Phone:650-483-9072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-06
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN467365163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant