Provider Demographics
NPI:1790353183
Name:CASE, CHRISTY ANN (ARNP)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ANN
Last Name:CASE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 400
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:40008-0400
Mailing Address - Country:US
Mailing Address - Phone:502-252-5081
Mailing Address - Fax:502-252-7211
Practice Address - Street 1:107 PERRY ST
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:KY
Practice Address - Zip Code:40008-7138
Practice Address - Country:US
Practice Address - Phone:502-252-5081
Practice Address - Fax:502-252-7211
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYF06210181363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily