Provider Demographics
NPI:1679886550
Name:SEARS, CHRISTIE MICHELLE (LPN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:MICHELLE
Last Name:SEARS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4208 MARCUM LN
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-1711
Mailing Address - Country:US
Mailing Address - Phone:541-337-7156
Mailing Address - Fax:
Practice Address - Street 1:4208 MARCUM LN
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-1711
Practice Address - Country:US
Practice Address - Phone:541-337-7156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR20093047164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse