Provider Demographics
NPI:1053950345
Name:COLAIANNI, CHRISTINE GABRIELA (MSN, RN, CPNP-PC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:GABRIELA
Last Name:COLAIANNI
Suffix:
Gender:F
Credentials:MSN, RN, CPNP-PC
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Mailing Address - Street 1:111 DANFORTH DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3184
Mailing Address - Country:US
Mailing Address - Phone:847-302-2097
Mailing Address - Fax:
Practice Address - Street 1:170 MANNING DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4221
Practice Address - Country:US
Practice Address - Phone:984-974-1401
Practice Address - Fax:919-966-2922
Is Sole Proprietor?:No
Enumeration Date:2020-01-03
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC253543163W00000X
NC5012686363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse