Provider Demographics
NPI:1548740665
Name:BERDING, CHRISTINE BARRETT (DNP, RN, CNE)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:BARRETT
Last Name:BERDING
Suffix:
Gender:F
Credentials:DNP, RN, CNE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1090 LAVISTA RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-7059
Mailing Address - Country:US
Mailing Address - Phone:706-255-8458
Mailing Address - Fax:
Practice Address - Street 1:1090 LAVISTA RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-7059
Practice Address - Country:US
Practice Address - Phone:706-255-8458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN068973163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse