Provider Demographics
NPI:1477748663
Name:CHRISTY, CHARLES R (RN MSN CFNP)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:R
Last Name:CHRISTY
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Gender:M
Credentials:RN MSN CFNP
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Mailing Address - Street 1:2929 CALDER ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1845
Mailing Address - Country:US
Mailing Address - Phone:409-833-9797
Mailing Address - Fax:409-839-3174
Practice Address - Street 1:2929 CALDER ST
Practice Address - Street 2:SUITE 100
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1845
Practice Address - Country:US
Practice Address - Phone:409-833-9797
Practice Address - Fax:409-839-3174
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2008-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX539928363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily