Provider Demographics
NPI:1427320803
Name:FREEMAN, CHRISTINA CARDINAL (RN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:CARDINAL
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:CHRSITINA
Other - Middle Name:CARDINAL
Other - Last Name:EARLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1001 RUBY STREET
Mailing Address - Street 2:DENTI ELEMENTARY
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440
Mailing Address - Country:US
Mailing Address - Phone:315-338-5366
Mailing Address - Fax:315-334-7528
Practice Address - Street 1:1001 RUBY STREET
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440
Practice Address - Country:US
Practice Address - Phone:315-338-5366
Practice Address - Fax:315-334-7528
Is Sole Proprietor?:No
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY483870-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool