Doctor Name: | MS. CHRISTIE LYNN HUME |
NPI Number: | 1154552230 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN00125669 |
Business Practice Address: | 2900 Doolittle Dr 28th Medical Operations Squadron Ellsworth Afb, SD - 57706 |
Business Phone Number: | 6053853455 |
Business Fax Number: | |
Mailing Address: | 2900 Doolittle Dr, 28th Medical Operations Squadron ELLSWORTH AFB |
State: | SD |
Postal Code: | 577060000 |
Phone Number: | 6053853455 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2009 |
NPI Last Update Date: | 08/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | RN00125669 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |