Provider Demographics
NPI:1083925226
Name:NUTTER, CHRISTINA MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:MARIE
Last Name:NUTTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 POINT CEDAR DR
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25404-3767
Mailing Address - Country:US
Mailing Address - Phone:301-305-9071
Mailing Address - Fax:
Practice Address - Street 1:217 GLENN ST STE 300
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2590
Practice Address - Country:US
Practice Address - Phone:844-773-6779
Practice Address - Fax:844-533-1131
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29451183500000X
VA0202210321183500000X
WVRP0007776183500000X
MD23949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist