Provider Demographics
NPI:1902074594
Name:SKIPPER, CHRISTY D (NREMT-P)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:D
Last Name:SKIPPER
Suffix:
Gender:F
Credentials:NREMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:COWARTS
Mailing Address - State:AL
Mailing Address - Zip Code:36321-5607
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:908 N BROAD ST
Practice Address - Street 2:
Practice Address - City:COWARTS
Practice Address - State:AL
Practice Address - Zip Code:36321-5607
Practice Address - Country:US
Practice Address - Phone:334-790-7060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0200517146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic