Provider Demographics
NPI:1619106069
Name:STUART, CHRISTINA PAIGE (APN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:PAIGE
Last Name:STUART
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MISS
Other - First Name:CHRISTINA
Other - Middle Name:PAIGE
Other - Last Name:DRAYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4200 S DOUGLAS AVE
Mailing Address - Street 2:STE 218
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73109-3215
Mailing Address - Country:US
Mailing Address - Phone:405-636-7133
Mailing Address - Fax:
Practice Address - Street 1:4401 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-3413
Practice Address - Country:US
Practice Address - Phone:405-713-7403
Practice Address - Fax:405-713-2794
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR77308364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care