Provider Demographics
NPI:1518308816
Name:WILSTEIN, CHRISTINE RAE (RN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:RAE
Last Name:WILSTEIN
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 1:8031 HUNTER PL
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-5063
Mailing Address - Country:US
Mailing Address - Phone:425-299-5030
Mailing Address - Fax:360-386-9447
Practice Address - Street 1:8031 HUNTER PL
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-5063
Practice Address - Country:US
Practice Address - Phone:425-299-5030
Practice Address - Fax:360-386-9447
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00096379163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse