Provider Demographics
NPI:1528030855
Name:REDWOOD-SAWYERR, CHRISTIANA EB (NP)
Entity Type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:EB
Last Name:REDWOOD-SAWYERR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 RANDOLPH RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-1106
Mailing Address - Country:US
Mailing Address - Phone:704-384-9679
Mailing Address - Fax:704-316-0508
Practice Address - Street 1:1640 E ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-4017
Practice Address - Country:US
Practice Address - Phone:704-291-7111
Practice Address - Fax:704-291-7244
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200900363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ47251Medicare UPIN
NC2592409Medicare ID - Type Unspecified