Provider Demographics
NPI:1750323176
Name:HILDERBRANDT, CHRISTINE (CNM)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:HILDERBRANDT
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4181 HOSPITAL DR NE STE 104
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-2541
Mailing Address - Country:US
Mailing Address - Phone:770-385-8594
Mailing Address - Fax:770-385-8590
Practice Address - Street 1:4181 HOSPITAL DR NE STE 104
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-2541
Practice Address - Country:US
Practice Address - Phone:770-385-8594
Practice Address - Fax:770-385-8590
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2729202367A00000X
GARN120345 CNM367A00000X
GARN120345367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL301972100Medicaid
FL7105902OtherAETNA
GA003185739A367Medicaid
FL3163138OtherCIGNA
FL2756766OtherUNITEDHEALTHCARE