Provider Demographics
NPI:1881087153
Name:HALBERT, CHRISTINE MATINCHECK (RN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:MATINCHECK
Last Name:HALBERT
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 1:230 SILVER SLOOP WAY
Mailing Address - Street 2:
Mailing Address - City:CAROLINA BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28428-4042
Mailing Address - Country:US
Mailing Address - Phone:717-554-7400
Mailing Address - Fax:
Practice Address - Street 1:230 SILVER SLOOP WAY
Practice Address - Street 2:
Practice Address - City:CAROLINA BEACH
Practice Address - State:NC
Practice Address - Zip Code:28428-4042
Practice Address - Country:US
Practice Address - Phone:717-554-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-11
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC241676163WC0200X
PARN310224L163WC0200X
CARN820987163WC0200X
FLRN9382091163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine