Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 003869 | CT |
N | 363LA2200X | Nurse Practitioner - Adult Health | 003869 | CT |
Y | 363LA2200X | Nurse Practitioner - Adult Health | R232709 | MD |
NPI | 1023266293 |
---|---|
Provider Name | Christina Maria Case |
First Address | Belfast, ME 04915-4017 |
Second Address | Annapolis, MD 21401-3747 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2008 |
Last Update Date | 04/06/2019 |