Provider Demographics
NPI:1760740542
Name:BADGER, CHRISTINE M (RN)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:BADGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:615 ARAPEEN DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108-1267
Mailing Address - Country:US
Mailing Address - Phone:801-587-3955
Mailing Address - Fax:801-587-3930
Practice Address - Street 1:615 ARAPEEN DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84108-1267
Practice Address - Country:US
Practice Address - Phone:801-587-3955
Practice Address - Fax:801-587-3930
Is Sole Proprietor?:No
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT224565-3102163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator