Doctor Name: | CHRISTY A RABETOY |
NPI Number: | 1508868480 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | APN0000013125 |
Business Practice Address: | 116 Allison Timbers Rd Piney Flats, TN - 376864043 |
Business Phone Number: | 4233197313 |
Business Fax Number: | |
Mailing Address: | 116 Allison Timbers Rd, PINEY FLATS |
State: | TN |
Postal Code: | 376864043 |
Phone Number: | 4233917313 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2005 |
NPI Last Update Date: | 01/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN0000013125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |