# MRS. CHRISTY MARIE THALLMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649245010
- **Gender:** F
- **Credential:** MSN RN FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4704203244 | MI | Yes |

## Other

- **Enumeration date:** 02/21/2006
- **Last updated:** 09/17/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0N82760002 | MEDICARE | MI |
| 01 | — | 0N82770003 | MEDICARE | MI |
| 01 | — | 500F318890 | BCBS | MI |