Provider Demographics
NPI:1528578838
Name:HOLSTEIN, CHRISTY ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ANN
Last Name:HOLSTEIN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37456 COAL RIVER RD
Mailing Address - Street 2:
Mailing Address - City:WHITESVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25209
Mailing Address - Country:US
Mailing Address - Phone:304-854-1321
Mailing Address - Fax:304-854-1031
Practice Address - Street 1:35767 POND FORK ROAD
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:WV
Practice Address - Zip Code:25208
Practice Address - Country:US
Practice Address - Phone:304-247-6202
Practice Address - Fax:304-247-6203
Is Sole Proprietor?:No
Enumeration Date:2017-10-02
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN69417NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily