Provider Demographics
NPI:1457611279
Name:WEEKS, CHRISTINE E (FNP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:E
Last Name:WEEKS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 W 40TH ST STE 212A
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-2108
Mailing Address - Country:US
Mailing Address - Phone:410-601-0070
Mailing Address - Fax:410-601-0290
Practice Address - Street 1:711 W 40TH ST STE 212A
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-2108
Practice Address - Country:US
Practice Address - Phone:410-601-0070
Practice Address - Fax:410-601-0290
Is Sole Proprietor?:No
Enumeration Date:2012-05-26
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC211708363LF0000X
MDAC004387363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily