Doctor Name: | MISS VALERIE CHRISTIAN |
NPI Number: | 1033528963 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 679150 |
Business Practice Address: | 15301 Warren Shingle Rd Beale Afb, CA - 959031907 |
Business Phone Number: | 5306342431 |
Business Fax Number: | |
Mailing Address: | 15301 Warren Shingle Rd, BEALE AFB |
State: | CA |
Postal Code: | 959031907 |
Phone Number: | 5306342431 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2014 |
NPI Last Update Date: | 04/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 679150 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |