Provider Demographics
NPI:1821075698
Name:TRENERY, CHRISTIE F (FNP, DNP)
Entity Type:Individual
Prefix:MS
First Name:CHRISTIE
Middle Name:F
Last Name:TRENERY
Suffix:
Gender:F
Credentials:FNP, DNP
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:
Other - Last Name:FURR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1530 UNION RD STE A
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-2201
Mailing Address - Country:US
Mailing Address - Phone:704-867-6188
Mailing Address - Fax:704-866-4437
Practice Address - Street 1:1530 UNION RD STE A
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2201
Practice Address - Country:US
Practice Address - Phone:704-867-6188
Practice Address - Fax:704-866-4437
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2019-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201176363LF0000X, 363LP0808X, 363LP0808X
SC4460363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAA94626580OtherMEDICARE PTAN
SCNP0626Medicaid
NC6113064Medicaid
NCP35465Medicare UPIN