Provider Demographics
NPI:1396885158
Name:TASHJIAN, CHRISTY MICHELLE (RN, CPM, LM)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:MICHELLE
Last Name:TASHJIAN
Suffix:
Gender:F
Credentials:RN, CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9001 OAK VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737-1226
Mailing Address - Country:US
Mailing Address - Phone:512-924-2229
Mailing Address - Fax:512-685-1636
Practice Address - Street 1:9001 OAK VALLEY RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78737-1226
Practice Address - Country:US
Practice Address - Phone:512-924-2229
Practice Address - Fax:512-685-1636
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99007176B00000X
TXAP125647363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No176B00000XOther Service ProvidersMidwife