Provider Demographics
NPI:1700646809
Name:SUMMERS, CHRISTINA LYN (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:LYN
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2614 COUNTY ROAD 5
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:OH
Mailing Address - Zip Code:43515-9664
Mailing Address - Country:US
Mailing Address - Phone:419-450-1797
Mailing Address - Fax:
Practice Address - Street 1:1601 BRIGHAM DR STE 200
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-7117
Practice Address - Country:US
Practice Address - Phone:567-585-0380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF10231021363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily