Provider Demographics
NPI:1609376441
Name:ADDKISON, CHRISTEN PAIGE (LVN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTEN
Middle Name:PAIGE
Last Name:ADDKISON
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MS
Other - First Name:CHRISTEN
Other - Middle Name:PAIGE
Other - Last Name:ADDKISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LVN
Mailing Address - Street 1:2605 HAIRPIN CURV
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-6603
Mailing Address - Country:US
Mailing Address - Phone:940-867-3345
Mailing Address - Fax:
Practice Address - Street 1:2605 HAIRPIN CURV
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-6603
Practice Address - Country:US
Practice Address - Phone:940-867-3345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX337169164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse