Provider Demographics
NPI:1548340979
Name:BOLLINGER, CHRISTINE (RN, MS, CPNP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:BOLLINGER
Suffix:
Gender:F
Credentials:RN, MS, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 FANNIN ST STE 1020
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2611
Mailing Address - Country:US
Mailing Address - Phone:832-822-1090
Mailing Address - Fax:832-825-3903
Practice Address - Street 1:6701 FANNIN ST STE 1020
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2611
Practice Address - Country:US
Practice Address - Phone:832-822-1090
Practice Address - Fax:832-825-3903
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX546898363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX062607904Medicaid
P24635Medicare UPIN