Provider Demographics
NPI:1730872367
Name:LITMAN, CHRISTIAN HARLEY (APRN)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:HARLEY
Last Name:LITMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 WINDSOR PATH STE 5
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-9819
Mailing Address - Country:US
Mailing Address - Phone:502-892-6020
Mailing Address - Fax:606-898-6031
Practice Address - Street 1:105 WINDSOR PATH
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-9818
Practice Address - Country:US
Practice Address - Phone:502-892-6020
Practice Address - Fax:606-898-6031
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4002262363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health