Provider Demographics
NPI:1285692483
Name:SCHONOUR, CHRISTINE M (NP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:SCHONOUR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7755 CENTER AVE
Mailing Address - Street 2:STE 630
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-9152
Mailing Address - Country:US
Mailing Address - Phone:657-237-2450
Mailing Address - Fax:
Practice Address - Street 1:3725 N BUFFALO ST
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1853
Practice Address - Country:US
Practice Address - Phone:716-508-4040
Practice Address - Fax:716-508-8038
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY328804363LA2200X
CA95011485363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00027589101OtherUNIVERA
NY000528541001OtherBCBS WNY
NY2643381OtherUNITED HEALTHCARE
NY9513204OtherINDEPENDENT HEALTH
NY02754992Medicaid
NY000528541001OtherBCBS WNY