Individual provider · Type 1 NPI
Christina Marie Van Gennep, ARNP
Neonatal Nurse Practitioner · Dothan, AL
NPI number
1962766410
Active
Practice location
1108 Ross Clark Cir
Dothan, AL 36301-3022
Fax (334) 793-8093
Mailing address
7027 Hugh Dr
Panama City, FL 32404-8420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 1-181102 (AL) |
| Neonatal Nurse Practitioner Primary | 363LN0000X | ARNP9262470 (FL) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1962766410
Christina Marie Van Gennep, ARNP's National Provider Identifier is 1962766410, issued on Jun 29, 2012. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Dothan, AL. The record was last updated on Aug 9, 2025.