Provider Demographics
NPI:1346648763
Name:TWIGG, CHRISTY (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:TWIGG
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 VAN BELLE RD
Mailing Address - Street 2:
Mailing Address - City:OUTLOOK
Mailing Address - State:WA
Mailing Address - Zip Code:98938-9723
Mailing Address - Country:US
Mailing Address - Phone:509-836-3203
Mailing Address - Fax:509-837-7855
Practice Address - Street 1:3800 VAN BELLE RD
Practice Address - Street 2:
Practice Address - City:OUTLOOK
Practice Address - State:WA
Practice Address - Zip Code:98938-9723
Practice Address - Country:US
Practice Address - Phone:509-836-3203
Practice Address - Fax:509-837-7855
Is Sole Proprietor?:No
Enumeration Date:2014-12-17
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00154987163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse