Provider Demographics
NPI:1942830799
Name:LEGLER, CHRISTY WEBSTER (ARNP, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:WEBSTER
Last Name:LEGLER
Suffix:
Gender:F
Credentials:ARNP, PMHNP-BC
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:FAYE
Other - Last Name:WEBSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:608 S G ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4625
Mailing Address - Country:US
Mailing Address - Phone:253-993-5353
Mailing Address - Fax:253-993-5354
Practice Address - Street 1:608 S G ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4625
Practice Address - Country:US
Practice Address - Phone:253-993-5353
Practice Address - Fax:253-993-5353
Is Sole Proprietor?:No
Enumeration Date:2020-01-21
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00132869163W00000X
WAAP61087707363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health