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NPI Code Detail

MEDICARE: CHRISTY MARIE BAIN NP-C

MEDICARE: CHRISTY MARIE BAIN NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner713830TX

General Provider Information

NPI Number : 1043595317
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY MARIE BAIN NP-C
Provider Business Mailing Address
First Line : PO BOX 5409
Second Line :
City : ABILENE
State : TX
Zip : 79608-5409
Country : US
Telephone Number : 325-793-5290
Fax Number :
Provider Business Practice Location Address
First Line : 6417 CENTRAL PARK BLVD
Second Line :
City : ABILENE
State : TX
Zip : 79606-5884
Country : US
Telephone Number : 325-695-6370
Fax Number : 325-692-6595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2011
Last Update Date : 03/30/2019

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Directions to “ CHRISTY MARIE BAIN NP-C” Practice Location

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