Healthcare Provider Details

I. General information

NPI: 1285925164
Provider Name (Legal Business Name): CHRISTINA ANN HARDING M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2011
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 SOUTHWOOD BLVD STE 107
INCLINE VILLAGE NV
89451-9461
US

IV. Provider business mailing address

800 SOUTHWOOD BLVD STE 107
INCLINE VILLAGE NV
89451-9461
US

V. Phone/Fax

Practice location:
  • Phone: 775-262-9957
  • Fax:
Mailing address:
  • Phone: 617-285-8078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number16639
License Number StateNH
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25833
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA138443
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: