Provider Demographics
NPI:1235214107
Name:PRIEM, CHRISTIE WATKINS (APRN CFNP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:WATKINS
Last Name:PRIEM
Suffix:
Gender:F
Credentials:APRN CFNP
Other - Prefix:
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Mailing Address - Street 1:800 GRAND CENTRAL MALL STE 11
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:WV
Mailing Address - Zip Code:26105-4100
Mailing Address - Country:US
Mailing Address - Phone:304-916-1270
Mailing Address - Fax:
Practice Address - Street 1:800 GRAND CENTRAL MALL STE 11
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:WV
Practice Address - Zip Code:26105-4100
Practice Address - Country:US
Practice Address - Phone:304-916-1270
Practice Address - Fax:304-916-1705
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV53820363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily