Healthcare Provider Details
I. General information
NPI: 1073567426
Provider Name (Legal Business Name): CHRISTY A. ARMBRUSTER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 05/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1995 ERRECART BLVD SUITE 205
ELKO NV
89801-8334
US
IV. Provider business mailing address
1995 ERRECART BLVD SUITE 205
ELKO NV
89801-8334
US
V. Phone/Fax
- Phone: 775-753-6886
- Fax: 775-753-6888
- Phone: 775-753-6886
- Fax: 775-753-6888
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 11565 |
| License Number State | NV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: