Provider Demographics
NPI:1639985328
Name:WOLTERING, CHRISTINA DEAN (BS)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:DEAN
Last Name:WOLTERING
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7722 E COVERED BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-2816
Mailing Address - Country:US
Mailing Address - Phone:859-913-0191
Mailing Address - Fax:
Practice Address - Street 1:135 MERCHANT ST STE 130
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:OH
Practice Address - Zip Code:45246-3734
Practice Address - Country:US
Practice Address - Phone:859-771-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator