Provider Demographics
NPI:1255831244
Name:CAREY, CHRISTINE MCMURTRIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:MCMURTRIE
Last Name:CAREY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:MCMURTRIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN, RN
Mailing Address - Street 1:569 MCALLISTER RD
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-5655
Mailing Address - Country:US
Mailing Address - Phone:909-957-1222
Mailing Address - Fax:
Practice Address - Street 1:569 MCALLISTER RD
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-5655
Practice Address - Country:US
Practice Address - Phone:909-957-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-15
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX835626163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health