Provider Demographics
NPI:1194413252
Name:VERGARA, CHRISTINA (MED)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:
Last Name:VERGARA
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5919 WOODMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45213-1709
Mailing Address - Country:US
Mailing Address - Phone:513-304-5009
Mailing Address - Fax:
Practice Address - Street 1:5919 WOODMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45213-1709
Practice Address - Country:US
Practice Address - Phone:513-304-5009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No174400000XOther Service ProvidersSpecialist
No372500000XNursing Service Related ProvidersChore Provider