Provider Demographics
NPI:1194532309
Name:BISTRANSKY, CHRISTINA N
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:N
Last Name:BISTRANSKY
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 1:11811 LAKE AVE APT 907
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-1857
Mailing Address - Country:US
Mailing Address - Phone:330-958-2148
Mailing Address - Fax:
Practice Address - Street 1:11811 LAKE AVE APT 907
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-1857
Practice Address - Country:US
Practice Address - Phone:330-958-2148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide