Provider Demographics
NPI:1023496601
Name:NIELSEN, CHRISTY CATHERINE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:CATHERINE
Last Name:NIELSEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 908
Mailing Address - Street 2:LAKE CHELAN COMMUNITY HOSPITAL
Mailing Address - City:CHELAN
Mailing Address - State:WA
Mailing Address - Zip Code:98816-8631
Mailing Address - Country:US
Mailing Address - Phone:509-726-6020
Mailing Address - Fax:509-682-1025
Practice Address - Street 1:503 E HIGHLAND AVE
Practice Address - Street 2:LAKE CHELAN COMMUNITY HOSPITAL
Practice Address - City:CHELAN
Practice Address - State:WA
Practice Address - Zip Code:98816-8631
Practice Address - Country:US
Practice Address - Phone:509-726-6020
Practice Address - Fax:509-682-1027
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00010804183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist