Provider Demographics
NPI:1306263405
Name:VONHAZ, CHRISTINA GERTRUDE (NP)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:GERTRUDE
Last Name:VONHAZ
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 1:4810 LANDER RD
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-2145
Mailing Address - Country:US
Mailing Address - Phone:440-547-6864
Mailing Address - Fax:
Practice Address - Street 1:4810 LANDER RD
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-2145
Practice Address - Country:US
Practice Address - Phone:440-547-6864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA 15726-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health