Provider Demographics
NPI:1770108698
Name:YAMMARINO, CHRISTINE (CNP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:YAMMARINO
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24700 LORAIN RD STE 303
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-2069
Mailing Address - Country:US
Mailing Address - Phone:440-835-1445
Mailing Address - Fax:440-835-1537
Practice Address - Street 1:24700 LORAIN RD STE 303
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-2069
Practice Address - Country:US
Practice Address - Phone:440-835-1445
Practice Address - Fax:440-835-1537
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0026854363LP0808X, 2084B0040X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry