Doctor Name: | MS. CHRISTINA M DIGBY |
NPI Number: | 1134408099 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 209008851 |
Business Practice Address: | 16 Junction Drive West Suite 2 Glen Carbon, IL - 620342996 |
Business Phone Number: | 6182885019 |
Business Fax Number: | 6182885059 |
Mailing Address: | Po Box 370, GLEN CARBON |
State: | IL |
Postal Code: | 620340370 |
Phone Number: | 6186929640 |
Fax Number: | 6186929643 |
NPI Enumeration Date: | 08/10/2011 |
NPI Last Update Date: | 05/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 209008851 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |