Healthcare Provider Details

I. General information

NPI: 1760319628
Provider Name (Legal Business Name): CHRISTY POINTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N WALDEMERE AVE
MUNCIE IN
47303-5178
US

IV. Provider business mailing address

300 N WALDEMERE AVE
MUNCIE IN
47303-5178
US

V. Phone/Fax

Practice location:
  • Phone: 765-760-9577
  • Fax:
Mailing address:
  • Phone: 765-760-9577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number28218808A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: