Basic Information
| Provider Information | |||||||||
| NPI: | 1467519124 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | THOMAS | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | LUVENIA | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MS, RNC, FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 138 W LEWISTOWN RD | ||||||||
| Address2: | |||||||||
| City: | MURFREESBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 278559326 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2523983759 | ||||||||
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| Practice Location | |||||||||
| Address1: | 208 DUNDEE ST | ||||||||
| Address2: | |||||||||
| City: | WINDSOR | ||||||||
| State: | NC | ||||||||
| PostalCode: | 279836701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2522098932 | ||||||||
| FaxNumber: | 2522098933 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/02/2007 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | 200873 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.