Provider Demographics
NPI:1841365418
Name:SCHMITTHENNER, CHRISTINE JOY (CRNP)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:JOY
Last Name:SCHMITTHENNER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27290 WOODBURN HILL RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20659-4130
Mailing Address - Country:US
Mailing Address - Phone:301-472-4279
Mailing Address - Fax:
Practice Address - Street 1:27290 WOODBURN HILL RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20659-4130
Practice Address - Country:US
Practice Address - Phone:301-472-4279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR132818363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily