Provider Demographics
NPI:1871500140
Name:MARANTO, CHRISTIE C (APRN-BC,FNP)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:C
Last Name:MARANTO
Suffix:
Gender:F
Credentials:APRN-BC,FNP
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:
Other - Last Name:CONERLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5751 SHED RD STE 120
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-5662
Mailing Address - Country:US
Mailing Address - Phone:318-935-1922
Mailing Address - Fax:318-932-1925
Practice Address - Street 1:5751 SHED RD STE 120
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-5662
Practice Address - Country:US
Practice Address - Phone:318-935-1922
Practice Address - Fax:318-935-1925
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN035789 AP04983363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily