Basic Information
Provider Information
NPI: 1891959623
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZEUNER
FirstName: CHRISTINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1050 RIBAUT RD
Address2:  
City: BEAUFORT
State: SC
PostalCode: 299025400
CountryCode: US
TelephoneNumber: 8435248899
FaxNumber:  
Practice Location
Address1: 65 FOREST DRIVE
Address2:  
City: VARNVILLE
State: SC
PostalCode: 29944
CountryCode: US
TelephoneNumber: 8039432828
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/10/2008
LastUpdateDate: 07/10/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XR65669SCY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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