Provider Demographics
NPI:1417585522
Name:MWABO, CHRISTINE HARTMANN (CNM)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:HARTMANN
Last Name:MWABO
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 VILLA WAY
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-7089
Mailing Address - Country:US
Mailing Address - Phone:501-319-4711
Mailing Address - Fax:
Practice Address - Street 1:78 VILLA WAY
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-7089
Practice Address - Country:US
Practice Address - Phone:501-319-4711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CNM06257367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife