Provider Demographics
NPI:1174322044
Name:ANDERSON, CHRISTY LYNN (RN, ACNPC-AG)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:LYNN
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:RN, ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 STONEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-8780
Mailing Address - Country:US
Mailing Address - Phone:510-289-4960
Mailing Address - Fax:
Practice Address - Street 1:100 MEDICAL PARK DR STE 210
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2966
Practice Address - Country:US
Practice Address - Phone:403-610-0704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-12
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5022034363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care