1861600272 NPI number — MRS. CHRISTY H CLOUD ANP

Table of content: MRS. CHRISTY H CLOUD ANP (NPI 1861600272)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861600272 NPI number — MRS. CHRISTY H CLOUD ANP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CLOUD
Provider First Name:
CHRISTY
Provider Middle Name:
H
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
ANP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861600272
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18 FORKED OAK DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUMBOLDT
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38343
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
731-855-0094
Provider Business Mailing Address Fax Number:
731-855-0930

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2051 S. 45 BYPASS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TRENTON
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38382
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
731-855-0094
Provider Business Practice Location Address Fax Number:
731-855-0930
Provider Enumeration Date:
05/18/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APN007031 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: APN007031 . This is a "APN LICENSE NUMBER" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".