National Provider Identifier

Christine D Medina

Christine D Medina is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Prattsburgh, NY and a listed phone number of (607) 794-1743.

NPI 1932059987Prattsburgh, NYLicensed Practical Nurse

Profile Overview

NPI
1932059987
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 30, 2026
Last Updated
January 30, 2026

Practice Location

  • 10318 Mattoon RD
  • Prattsburgh, NY 14873-9335

Phone: (607) 794-1743

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1932059987
Entity Type
Individual
Last Name
Medina
First Name
Christine
Middle Name
D
Mailing Street Address
10318 Mattoon RD
Mailing City
Prattsburgh
Mailing State
NY
Mailing ZIP Code
14873-9335
Mailing Country
US
Mailing Phone
(607) 794-1743
Practice Street Address
10318 Mattoon RD
Practice City
Prattsburgh
Practice State
NY
Practice ZIP Code
14873-9335
Practice Country
US
Practice Phone
(607) 794-1743
Enumeration Date
January 30, 2026
Last Updated
January 30, 2026
Sex
Female
Sole Proprietor
Yes
Certification Date
January 30, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)