Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 5011887 | NC |
N | 363LW0102X | Nurse Practitioner - Women's Health | 5011887 | NC |
NPI | 1073015046 |
---|---|
Provider Name | Christian Ann Kaufman |
First Address | Asheville, NC 28803-2735 |
Second Address | Spindale, NC 28160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2018 |
Last Update Date | 13/07/2019 |