Provider Demographics
NPI:1518140151
Name:CHRISTOPHER, HOLLIE TUTHILL (RN)
Entity Type:Individual
Prefix:MS
First Name:HOLLIE
Middle Name:TUTHILL
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 OSTRANDER AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901-4679
Mailing Address - Country:US
Mailing Address - Phone:631-284-3730
Mailing Address - Fax:631-284-3730
Practice Address - Street 1:515 OSTRANDER AVE
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-4679
Practice Address - Country:US
Practice Address - Phone:631-284-3730
Practice Address - Fax:631-284-3730
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY508200163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health