Provider Demographics
NPI:1790304830
Name:CURRY, CHRISTY RENA
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:RENA
Last Name:CURRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3060 KERSHAW CT
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32934-8247
Mailing Address - Country:US
Mailing Address - Phone:321-480-2758
Mailing Address - Fax:
Practice Address - Street 1:3060 KERSHAW CT
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32934-8247
Practice Address - Country:US
Practice Address - Phone:321-480-2758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-09
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant