Provider Demographics
NPI:1760683163
Name:HUTTO, CHRISTINE BOWERS (RN FNPC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:BOWERS
Last Name:HUTTO
Suffix:
Gender:F
Credentials:RN FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:160 S DOGWOOD TRAIL
Mailing Address - Street 2:
Mailing Address - City:KITTY HAWK
Mailing Address - State:NC
Mailing Address - Zip Code:27949-3136
Mailing Address - Country:US
Mailing Address - Phone:252-255-0566
Mailing Address - Fax:
Practice Address - Street 1:5200 N CROATAN HWY
Practice Address - Street 2:BEACH MEDICAL CARE
Practice Address - City:KITTY HAWK
Practice Address - State:NC
Practice Address - Zip Code:27949
Practice Address - Country:US
Practice Address - Phone:252-261-4187
Practice Address - Fax:252-261-1922
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCRN120931363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC200633OtherNP