Provider Demographics
NPI:1134936669
Name:MEALEY, CHRISTINE M (RN)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:MEALEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4050 PIEDMONT PKWY
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9458
Mailing Address - Country:US
Mailing Address - Phone:336-289-8648
Mailing Address - Fax:
Practice Address - Street 1:4050 PIEDMONT PKWY
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-9458
Practice Address - Country:US
Practice Address - Phone:336-289-8648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK114317163W00000X
CA95115629163W00000X
CT139008163W00000X
DCRN1045175163W00000X
HI84031163W00000X
IL041451975163W00000X
MARN227163163W00000X
MI4704327783163W00000X
MN2413019163W00000X
NY725431163W00000X
OR201607298RN163W00000X
NH044109-21163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse