Doctor Name: | CHRISTINE MARIE MCCUTCHEON |
NPI Number: | 1376523332 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 78586 |
Business Practice Address: | 3687 Veterans Dr Fort Harrison, MT - 596369703 |
Business Phone Number: | 4064426410 |
Business Fax Number: | 4064426410 |
Mailing Address: | 3687 Veterans Dr, FT HARRISON |
State: | MT |
Postal Code: | 596361500 |
Phone Number: | 8432285577 |
Fax Number: | 8432285196 |
NPI Enumeration Date: | 01/18/2006 |
NPI Last Update Date: | 10/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 78586 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |