Provider Demographics
NPI:1689365868
Name:RARDIN, CHRISTINE ANNE (PA)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:ANNE
Last Name:RARDIN
Suffix:
Gender:F
Credentials:PA
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9000 CHILTHORNE CT
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-6675
Mailing Address - Country:US
Mailing Address - Phone:704-591-4030
Mailing Address - Fax:
Practice Address - Street 1:170 MANNING DR # 7025
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4221
Practice Address - Country:US
Practice Address - Phone:919-445-0740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant