Provider Demographics
NPI:1972724862
Name:WERNER JOVINELLI, CHRISTINE (RN,)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:WERNER JOVINELLI
Suffix:
Gender:F
Credentials:RN,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2429 HIGHTEE CT
Mailing Address - Street 2:
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-2540
Mailing Address - Country:US
Mailing Address - Phone:410-451-2689
Mailing Address - Fax:
Practice Address - Street 1:1399 FOREST DR
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21403-1423
Practice Address - Country:US
Practice Address - Phone:410-267-8658
Practice Address - Fax:410-267-8924
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR154718163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool