Clancy, Christina L.

Clancy, Christina L. is an individual health care provider with primary practice located at 146 E Geneva Sq , Lake Geneva WI 53147. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Clancy, Christina L. can be contacted via phone (262) 249-4660.

Contact Information

Primary practice address
146 E Geneva Sq Lake Geneva WI 53147
Phone: (262) 249-4660
Fax: (262) 249-7128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.019992 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209017362 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9353 Wisconsin

Profile Details

NPI number 1679017925
LBN Legal business name Clancy, Christina L.
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2016
Last updated Nov 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679017925 NPPES
Wisconsin MEDICAID 100092173

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