Provider Demographics
NPI:1861762387
Name:STERR, CHRISTINA MARIE (RN)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIE
Last Name:STERR
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 1:8551 S VENTANA DR
Mailing Address - Street 2:APT 4418
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154-8342
Mailing Address - Country:US
Mailing Address - Phone:262-305-9885
Mailing Address - Fax:
Practice Address - Street 1:8551 S VENTANA DR
Practice Address - Street 2:APT 4418
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53154-8342
Practice Address - Country:US
Practice Address - Phone:262-305-9665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-02
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI173826-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse