Provider Demographics
NPI:1326002619
Name:ESTEP, CHRISTY PAIGE (APRN-BC FNP)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:PAIGE
Last Name:ESTEP
Suffix:
Gender:F
Credentials:APRN-BC FNP
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:PAIGE
Other - Last Name:COPELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1049
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:WV
Mailing Address - Zip Code:24901
Mailing Address - Country:US
Mailing Address - Phone:304-717-0070
Mailing Address - Fax:304-717-0072
Practice Address - Street 1:406 NICHOLAS STREET
Practice Address - Street 2:
Practice Address - City:RUPERT
Practice Address - State:WV
Practice Address - Zip Code:25984
Practice Address - Country:US
Practice Address - Phone:304-717-0070
Practice Address - Fax:304-717-0072
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV47363363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NP31091Medicare PIN