| Doctor Name: | MS. CHRISTINE HALISHAK |
| NPI Number: | 1033514963 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 16706 |
| Business Practice Address: | 4001 Carrick Dr Suite 160 Medina, OH - 442565387 |
| Business Phone Number: | 3307237005 |
| Business Fax Number: | 3307234854 |
| Mailing Address: | 4001 Carrick Dr, Suite 160 MEDINA |
| State: | OH |
| Postal Code: | 442565387 |
| Phone Number: | 3307237005 |
| Fax Number: | 3307234854 |
| NPI Enumeration Date: | 11/04/2014 |
| NPI Last Update Date: | 11/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0222X |
| License Number: | 16706 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics, Critical Care |
| Taxonomy Definition: | |