Provider Demographics
NPI:1861606030
Name:CHRISTOPHER, ANNE (PA)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MRS
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:CHRISTOPHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA
Mailing Address - Street 1:100 ONTARIO PL
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-8343
Mailing Address - Country:US
Mailing Address - Phone:919-567-7505
Mailing Address - Fax:
Practice Address - Street 1:1300 WESTERN BLVD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27699-4285
Practice Address - Country:US
Practice Address - Phone:919-733-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical