Provider Demographics
NPI:1154588200
Name:CORE, CHRISTIE ANN
Entity type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:ANN
Last Name:CORE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 ELDERBERRY DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-2881
Mailing Address - Country:US
Mailing Address - Phone:419-522-7929
Mailing Address - Fax:
Practice Address - Street 1:110 ELDERBERRY DR
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-2881
Practice Address - Country:US
Practice Address - Phone:419-522-7929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide