Provider Demographics
NPI:1902038482
Name:WINDT, CHRISTINE ELAINE (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ELAINE
Last Name:WINDT
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14675 STOLTZ RD
Mailing Address - Street 2:
Mailing Address - City:DIAMOND
Mailing Address - State:OH
Mailing Address - Zip Code:44412-9611
Mailing Address - Country:US
Mailing Address - Phone:330-538-9539
Mailing Address - Fax:
Practice Address - Street 1:14675 STOLTZ RD
Practice Address - Street 2:
Practice Address - City:DIAMOND
Practice Address - State:OH
Practice Address - Zip Code:44412-9611
Practice Address - Country:US
Practice Address - Phone:330-538-9539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN. 327654163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse