Provider Demographics
NPI:1215157292
Name:COLELLA, CHRISTINE LIND (MSN, CNP)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:LIND
Last Name:COLELLA
Suffix:
Gender:F
Credentials:MSN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 STEFFEN AVE
Mailing Address - Street 2:LINCOLN HEIGHTS HEALTH CENTER
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-2338
Mailing Address - Country:US
Mailing Address - Phone:513-588-3623
Mailing Address - Fax:513-554-4115
Practice Address - Street 1:1401 STEFFEN AVE
Practice Address - Street 2:LINCOLN HEIGHTS HEALTH CENTER
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-2338
Practice Address - Country:US
Practice Address - Phone:513-588-3623
Practice Address - Fax:513-554-4115
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP05781363LA2200X
IN71002175A363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2244011Medicaid
OH2244011Medicaid